Organization
MATHEWS MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIN YONAN MD (PRESIDENT)
(248) 250-9497
Entity
Organization
Contact information
Practice address
2221 LIVERNOIS RD, SUITE 100, TROY, MI 48083-1603
(248) 250-9474
(248) 250-9483
Mailing address
2221 LIVERNOIS RD, SUITE 100, TROY, MI 48083-1603
(248) 250-9474
(248) 250-9483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MY075033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F38151
BCBS
MI
01
—
13069
CAPE HEALTH PLAN
MI
01
—
136976
CARE CHOICES
MI
01
—
148498
GREAT LAKES HEALTH PLAN
MA
05
—
4696174
—
MI
01
—
57510
TOTAL HEALTH PLAN
MI
01
—
H88115
HAP
MI
01
—
P00296825
RAILROAD MEDICARE
MI
Enumeration date
10/26/2006
Last updated
08/09/2010
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