Provider Demographics
NPI:1568666907
Name:FASAKIN, YEMI M (MD)
Entity Type:Individual
Prefix:DR
First Name:YEMI
Middle Name:M
Last Name:FASAKIN
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 1:12309 WINDING SHORES DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6100
Mailing Address - Country:US
Mailing Address - Phone:281-382-9609
Mailing Address - Fax:
Practice Address - Street 1:12309 WINDING SHORES DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-6100
Practice Address - Country:US
Practice Address - Phone:281-382-9609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2014-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6607207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology