Organization
A. HAJYOUSEF, MD PC
Active
Other names
T.O. SHANAVAS, MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
ABDASSALAM HAJYOUSEF MD (PRESIDENT)
(517) 263-6733
Entity
Organization
Contact information
Practice address
901 KIMOLE LN, SUITE B-1, ADRIAN, MI 49221-1491
(517) 263-6733
(517) 263-7148
Mailing address
901 KIMOLE LN, SUITE B-1, ADRIAN, MI 49221-1491
(517) 263-6733
(517) 263-7148
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350D676100
BCBSM
MI
Enumeration date
05/08/2006
Last updated
12/11/2012
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