Provider Demographics
NPI:1972014074
Name:SUHAD YALDO MD PLLC
Entity Type:Organization
Organization Name:SUHAD YALDO MD PLLC
Other - Org Name:CHILDREN'S CARE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:YALDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-229-9380
Mailing Address - Street 1:30701 WOODWARD AVE
Mailing Address - Street 2:SUITE S-301
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073
Mailing Address - Country:US
Mailing Address - Phone:248-541-2222
Mailing Address - Fax:248-541-7734
Practice Address - Street 1:30701 WOODWARD AVE.
Practice Address - Street 2:SUITE S-301
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073
Practice Address - Country:US
Practice Address - Phone:248-541-2222
Practice Address - Fax:248-541-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301076166208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty