Healthcare Provider Details

I. General information

NPI: 1215740717
Provider Name (Legal Business Name): YASIN ABDUL BARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6245 INKSTER RD
GARDEN CITY MI
48135-4001
US

IV. Provider business mailing address

11415 ZANARDI CT
ZIONSVILLE IN
46077-9826
US

V. Phone/Fax

Practice location:
  • Phone: 734-458-3300
  • Fax:
Mailing address:
  • Phone: 734-458-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: