Provider Demographics
NPI:1093705675
Name:YASEEN, ZUHAIR HABIB (MD)
Entity Type:Individual
Prefix:DR
First Name:ZUHAIR
Middle Name:HABIB
Last Name:YASEEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3245 HEALTH DR STE 100
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-1380
Mailing Address - Country:US
Mailing Address - Phone:574-647-2129
Mailing Address - Fax:574-237-6069
Practice Address - Street 1:100 NAVARRE PL STE 4400
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46601-1100
Practice Address - Country:US
Practice Address - Phone:574-544-5580
Practice Address - Fax:574-544-5579
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060726A207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200527950Medicaid
ING46227Medicare UPIN
IN200527950Medicaid