Individual
YORAM SOROKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3990 JOHN R, 7 BRUSH NORTH, BOX 163, DETROIT, MI 48201
(313) 993-1388
(313) 993-4100
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5970
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301054820
MI
207VM0101X
Maternal & Fetal Medicine Physician
4301054820
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440701010
—
MI
01
—
700H262210
BLUE CROSS-BLUE CROSS
—
01
—
YS054820
CHAMPUS-CHAMPUS
—
Enumeration date
05/31/2006
Last updated
09/02/2014
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