Provider Demographics
NPI:1417510116
Name:HAJI, YASSER ALL (MD)
Entity Type:Individual
Prefix:DR
First Name:YASSER
Middle Name:ALL
Last Name:HAJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YASSER
Other - Middle Name:
Other - Last Name:ALLHAJI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11811 E. 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3472
Mailing Address - Country:US
Mailing Address - Phone:586-636-6498
Mailing Address - Fax:586-636-6498
Practice Address - Street 1:11800 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093
Practice Address - Country:US
Practice Address - Phone:586-422-1686
Practice Address - Fax:586-422-1687
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.0821632086X0206X
MI42101982732086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology