Organization Active NPI

Fares Yasin

  • General Practice Physician
  • Dearborn, MI
National Provider Identifier
1407341001
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301087049 Issued in MI
Legal business name
FARES YASIN
Practice address
24418 Michigan Ave
Dearborn, MI 48124-1837
Phone
(313) 427-8826
Fax
(313) 427-8836
NPI assigned
Jun 26, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Fares Fehmi Yasin, MDNPI 1255427472
Title
Owner
Phone
(313) 427-8826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301087049 MI Primary

Addresses

Primary practice location

24418 Michigan Ave
Dearborn, MI 48124-1837

Mailing address

24418 Michigan Ave
Dearborn, MI 48124-1837
Phone (313) 427-8826

National Provider Directory

National Provider Directory

Locations

24418 Michigan Ave
Dearborn, MI 48124
Phone (313) 427-8826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1407341001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24418 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241837",
            "telephone_number": "313-427-8826",
            "fax_number": "313-427-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24418 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241837",
            "telephone_number": "313-427-8826",
            "fax_number": "313-427-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARES YASIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "FARES",
        "authorized_official_middle_name": "FEHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-427-8826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301087049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.