YASSIR SIRAJELDIN (NPI# 1306111463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306111463 |
| Entity Type | Individual |
| Full Name | YASSIR SIRAJELDIN |
| Credential | M.D. |
| Practice Address |
22250 Providence Dr Ste 406 Southfield MI 48075-6212 |
| Mailing Address |
1886 W Auburn Rd Suite 400 Rochester Hills MI 48309-3865 |
| Practice Telephone | 2485579010 |
| Practice Fax Number | 2485573655 |
| Mailing Telephone | 2482903111 |
| Mailing Fax Number | 2482903100 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301101253 | MI | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301101252 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22201 Moross Rd Ste 150, Detroit, MI 482362152 | 3134326271 |
| Street Address |
22250 PROVIDENCE DR STE 406 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371649 | Angela Laverne Watkins | Nurse Practitioner | 22250 Providence Dr Ste 406, Southfield, MI 48075-6212 | 2019-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285085860 | Omer Yousif | Internal Medicine | 29829 Telegraph Rd Ste 202, Southfield, MI 48034-7656 | 2016-06-24 |
| 1336510072 | Nephro-care Md Plc | Internal Medicine | 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 | 2015-10-07 |
| 1942459805 | Kidney Specialists of Michigan | Internal Medicine | 29829 Telegraph Rd, Ste 202, Southfield, MI 48034-1330 | 2008-09-16 |
| 1407863194 | Delta Renal Group, P.C. | Internal Medicine | 20755 Greenfield Rd, Suite Number 203, Southfield, MI 48075-5403 | 2006-08-02 |
| 1477522423 | Ali Reza Ashtari | Internal Medicine | 22250 Providence Dr, Suite 406, Southfield, MI 48075-4825 | 2006-03-14 |
| 1619943180 | Iram A Rehman | Internal Medicine | 22250 Providence Dr, Ste 406, Southfield, MI 48075 | 2006-02-24 |
| 1871567651 | Fawaz Al-ejel | Internal Medicine | 22250 Providence Drive, Ste 406, Southfield, MI 48075 | 2006-02-16 |
| 1225009145 | Nephron Associates, PC | Internal Medicine | 29877 Telegraph Rd, Suite 301, Southfield, MI 48034-1332 | 2006-01-30 |
| 1841270196 | Irfan Omar | Internal Medicine | 29877 Telegraph Rd, Suite 400, Southfield, MI 48034-1332 | 2006-01-20 |
| 1558341800 | Robert S Michaels | Internal Medicine | 29877 Telegraph Rd, Suite 301, Southfield, MI 48034-1332 | 2006-01-20 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on YASSIR SIRAJELDIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.