Provider Demographics
NPI:1154499606
Name:MUSZKAT, YAKIR (MD)
Entity Type:Individual
Prefix:
First Name:YAKIR
Middle Name:
Last Name:MUSZKAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30795 23 MILE RD
Mailing Address - Street 2:206
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-5721
Mailing Address - Country:US
Mailing Address - Phone:586-598-5731
Mailing Address - Fax:
Practice Address - Street 1:30795 23 MILE RD
Practice Address - Street 2:STE 206
Practice Address - City:CHESTERFIELD TWP
Practice Address - State:MI
Practice Address - Zip Code:48047-5721
Practice Address - Country:US
Practice Address - Phone:586-598-5731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI066321207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
100H264400OtherBLUE CROSS-BLUE CROSS
YM066321OtherCHAMPUS-CHAMPUS
YM066321OtherCOMMERCIAL-COMMERCIAL NUMBER
MI316377010Medicaid
0H26440020Medicare ID - Type Unspecified
MI316377010Medicaid