Individual
GHIATH A YAZJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5690
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5690
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35071709Y
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016428
—
OH
01
—
4634289
MI MEDICAID
MI
01
—
P00161449
OHIO RAILROAD MEDICARE
OH
Enumeration date
07/05/2005
Last updated
02/04/2010
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