Provider Demographics
NPI:1497978118
Name:YASSIN, RAWIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:RAWIA
Middle Name:S
Last Name:YASSIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:18804 CHAVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-2855
Mailing Address - Country:US
Mailing Address - Phone:813-972-7100
Mailing Address - Fax:813-972-8267
Practice Address - Street 1:4225 E FOWLER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-2026
Practice Address - Country:US
Practice Address - Phone:813-972-7100
Practice Address - Fax:813-972-8267
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME84329207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology