Provider Demographics
NPI:1255427472
Name:YASIN, FARES FEHMI (MD)
Entity type:Individual
Prefix:DR
First Name:FARES
Middle Name:FEHMI
Last Name:YASIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:24418 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1837
Mailing Address - Country:US
Mailing Address - Phone:313-427-8826
Mailing Address - Fax:313-427-8821
Practice Address - Street 1:4634 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2844
Practice Address - Country:US
Practice Address - Phone:313-749-7650
Practice Address - Fax:313-749-7651
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2017-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301087049208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice