Zena Alyashae, MD

Individual provider Active NPI Family Medicine Physician · Three Rivers, MI

NPI 1750769717 · NPPES record last updated Apr 1, 2019

Key facts

NPI
1750769717
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
4301114130 (MI)
Practice address
721 6TH Ave
Three Rivers, MI 49093-8302
Phone
(269) 273-9782
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301114130MIMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301114130 MI Yes

Addresses

Primary practice location

721 6TH Ave
Three Rivers, MI 49093-8302

Mailing address

721 6TH Ave
Three Rivers, MI 49093-8302
Phone (269) 273-9782

Other providers in Three Rivers, MI

All providers in Three Rivers, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.