Healthcare Provider Details

I. General information

NPI: 1104639996
Provider Name (Legal Business Name): YAFA MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 W APPLETON AVE
MILWAUKEE WI
53216-1932
US

IV. Provider business mailing address

7235 W APPLETON AVE
MILWAUKEE WI
53216-1932
US

V. Phone/Fax

Practice location:
  • Phone: 414-434-8517
  • Fax: 414-365-2937
Mailing address:
  • Phone: 414-434-8517
  • Fax: 414-365-2937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: YASIR YAFAI
Title or Position: OWNER/DO
Credential: DO
Phone: 414-434-8517