Organization Active NPI

Bashar Yalldo MD PLC

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1447867619
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BASHAR YALLDO MD PLC
Practice address
14700 Farmington Rd Ste 105
Livonia, MI 48154-5434
Phone
(248) 330-7098
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Bashar Yalldo, MD
Title
Practice Owner
Phone
(248) 330-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14700 Farmington Rd Ste 105
Livonia, MI 48154-5434

Mailing address

14700 Farmington Rd Ste 105
Livonia, MI 48154-5434

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PRACTICELOCATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1447867619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 FARMINGTON RD STE 105",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 FARMINGTON RD STE 105",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545434",
            "telephone_number": "248-330-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHAR YALLDO MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "YALLDO",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "248-330-7098",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PRACTICELOCATION",
            "affiliation": "N",
            "address_1": "14700 Farmington Rd Ste 105",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481545434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.