Provider Demographics
NPI:1811189764
Name:YASINS MEDICAL
Entity Type:Organization
Organization Name:YASINS MEDICAL
Other - Org Name:DR. NURA YASIN, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NURA
Authorized Official - Middle Name:
Authorized Official - Last Name:YASIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-515-2667
Mailing Address - Street 1:10017 CARRIE LN
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-4225
Mailing Address - Country:US
Mailing Address - Phone:913-515-2667
Mailing Address - Fax:913-362-5994
Practice Address - Street 1:10017 CARRIE LN
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-4225
Practice Address - Country:US
Practice Address - Phone:913-515-2667
Practice Address - Fax:913-362-5994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0431966251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management