Provider Demographics
NPI:1184816415
Name:AMIN, SAIMA YAQUB (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:YAQUB
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24163 CURT DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-5453
Mailing Address - Country:US
Mailing Address - Phone:734-674-4868
Mailing Address - Fax:
Practice Address - Street 1:24163 CURT DR
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48183-5453
Practice Address - Country:US
Practice Address - Phone:734-674-4868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301084324390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program