Healthcare Provider Details

I. General information

NPI: 1548368517
Provider Name (Legal Business Name): YASEEN RAFEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 04/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 TUURI PLACE
FLINT MI
48503-5993
US

IV. Provider business mailing address

1 HURLEY PLZ SON 5TH FLOOR
FLINT MI
48503-5902
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9773
  • Fax: 810-262-7143
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301081296
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number4301081296
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: