Provider Demographics
NPI:1720345457
Name:UOP LLC
Entity Type:Organization
Organization Name:UOP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, MED. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YASSER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-240-9867
Mailing Address - Street 1:330 TOWN CENTER DR
Mailing Address - Street 2:SUITE 900
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2738
Mailing Address - Country:US
Mailing Address - Phone:313-240-9867
Mailing Address - Fax:
Practice Address - Street 1:330 TOWN CENTER DR
Practice Address - Street 2:SUITE 900
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2738
Practice Address - Country:US
Practice Address - Phone:313-240-9867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management