Healthcare Provider Details

I. General information

NPI: 1497332993
Provider Name (Legal Business Name): YASIN MOHAMMAD UDDIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: YASIN M UDDIN DO

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5499
US

IV. Provider business mailing address

PO BOX 860912
MINNEAPOLIS MN
55486-0912
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number011780
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberU6596
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: