# ANEELA YAQOOB MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831414622
- **Authorized official:** DR. ANEELA YAQOOB MD (PRESIDENT)
- **Authorized official phone:** (734) 981-5250

## Contact information

- **Practice address:** 33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
- **Practice address phone:** (734) 981-5250
- **Mailing address:** 3515 PARKLAWN DR, CANTON, MI 48188-2315
- **Mailing address phone:** (734) 981-5250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 4301075063 | MI | Yes |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 04/05/2010