Individual
DR. YONG JA AHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 CHAMBERS ROAD, CARO, MI 48723-9296
(989) 673-3191
(989) 673-0064
Mailing address
2000 CHAMBERS ROAD, CARO, MI 48723-9296
(989) 673-3191
(989) 673-0064
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
YA036061
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7901062
BLUE CROSS / BLUE SHIELD
MI
Enumeration date
08/16/2006
Last updated
07/08/2007
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