Provider Demographics
NPI:1326569815
Name:ALEATANY, YASEEN (MD)
Entity Type:Individual
Prefix:
First Name:YASEEN
Middle Name:
Last Name:ALEATANY
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 1:2502 PACKARD ST UNIT 4514
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6846
Mailing Address - Country:US
Mailing Address - Phone:571-477-7890
Mailing Address - Fax:
Practice Address - Street 1:2000 10TH AVE STE 225
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3704
Practice Address - Country:US
Practice Address - Phone:706-494-4632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA272595207R00000X
MI4351045838207RR0500X
GA92397207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine