Individual
YAHYA M. OSMAN-MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R, SUITE 917, DETROIT, MI 48201-2020
(313) 745-4525
(313) 745-0011
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301065429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413396310
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
YO065429
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
03/01/2022
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