Yasin K Ahmed, M.D

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

4301090204 Issued in MI

Practice address

919 Shore Club Dr
Saint Clair Shores, MI 48080-1562

Phone

(586) 344-3101

NPI assigned

May 11, 2011

Last updated

May 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1982996831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 SHORE CLUB DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801562",
            "telephone_number": "586-344-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 SHORE CLUB DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801562",
            "telephone_number": "586-344-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "YASIN",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MI",
            "license": "4301090204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyesha Agnew
• Rajiv Agrawal, MD
• Afroze Ahmed, MD
• Ahtasham Ahmed, PHARMD
• Saadiah Mirza Ahmed, D.O.
• Alexander Ajlouni, M.D.
• Andrew Farris Ajluni, D.O.
• Mariam Akanan, LLMSW
• Tazkia Sadia Al-Bari, MD
• Moaadh Alahmadi, DDS

• Clinical Pathology/Laboratory Medicine Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Pathology/Laboratory Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.