Provider Demographics
NPI:1881045417
Name:YASAR, MD SAMIN (MD)
Entity Type:Individual
Prefix:
First Name:MD SAMIN
Middle Name:
Last Name:YASAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SAMIN
Other - Middle Name:
Other - Last Name:YASAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4805 ALGONQUIN DR APT 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-7997
Mailing Address - Country:US
Mailing Address - Phone:216-713-3359
Mailing Address - Fax:
Practice Address - Street 1:1825 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-1916
Practice Address - Country:US
Practice Address - Phone:319-235-3838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA45698207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine