Eanas S Yassa in Grand Rapids - Vascular Surgery
Eanas S Yassa - NPI 1396954376
Eanas S Yassa is a Vascular Surgery in Grand Rapids, Michigan. Eanas S Yassa practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Eanas S Yassa is 1396954376. The last update date is 2021-02-23.
Eanas S Yassa's current location address is 4069 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162678700. The mailing address for Eanas S Yassa is 4069 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eanas S Yassa |
|---|---|
| Address | 4069 Lake Dr Se, Grand Rapids, Michigan |
| Phone Number | 6162678700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396954376 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2021-02-23 |
Provider Mailing Address Detail
| Address | 4069 Lake Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495468816 |
| Phone Number | 6162678700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 4301104003 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1396954376 | MI | -- | |
| 1396954376 | MI | NPI |
Post Comment/ Review Below
What is the Eanas S Yassa's unique identification number?
The Eanas S Yassa has been assigned the NPI (National Provider Identifier) Number 1396954376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Eanas S Yassa is physically located?
The Eanas S Yassa is physically situated at the following address: 4069 Lake Dr Se, Grand Rapids, MI, 495468816.
What is Eanas S Yassa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eanas S Yassa is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396954376 to Eanas S Yassa?
The Centers for Medicare & Medicaid Services assigned the 1396954376 to Eanas S Yassa on 2007-05-22.
As of what date was the information pertaining to Eanas S Yassa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eanas S Yassa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-23.