Jawad Yousef Agha, M.D., P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301076703 Issued in MI

Legal business name

JAWAD YOUSEF AGHA, M.D., P.L.L.C.

Practice address

5301 McAuley Dr
Ypsilanti, MI 48197-1051

Phone

(414) 429-8539

Fax

(708) 221-6174

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jawad Yousef Agha

Title

M.D.

Phone

(414) 429-8539

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841383650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 PONTIAC TRL",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 MCAULEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "414-429-8539",
            "fax_number": "708-221-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWAD YOUSEF AGHA, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUSEF AGHA",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "414-429-8539",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301076703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.