Active NPI
Yasser All Haji, MD
- Surgical Oncology Physician
- Warren, MI
National Provider Identifier
1417510116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 4210198273
- Practice address
- 11800 E 12 Mile Rd
Warren, MI 48093 - Phone
- (586) 422-1686
- Fax
- (586) 422-1687
- NPI assigned
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 36.082163 | OH | |
| Surgical Oncology Physician | 2086X0206X | 4210198273 | MI | Primary |
Addresses
Primary practice location
11800 E 12 Mile Rd
Warren, MI 48093
Mailing address
11811 E. 12 Mile Rd
Madison Heights, MI 48071-3472
Phone (586) 636-6498
Other names 1
- Dr. Yasser Allhaji
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4210198273 | MI | MD | Surgical Oncology Physician |
| 36.082163 | OH | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1417510116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11811 E. 12 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713472",
"telephone_number": "586-636-6498",
"fax_number": "586-636-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "48093",
"telephone_number": "586-422-1686",
"fax_number": "586-422-1687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJI",
"first_name": "YASSER",
"middle_name": "ALL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "OH",
"license": "36.082163",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "MI",
"license": "4210198273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YASSER",
"last_name": "ALLHAJI",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.