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NPI Code Detail

MEDICARE: DR. YAZDI N AMARIA M.D.

MEDICARE:  DR. YAZDI N AMARIA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301049704MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113039OTHERMIHEALTH PLAN OF MICHIGAN
20005218428OTHERAETNA
30107500492OTHERMIBLUE CROSS BLUE SHIELD
41018312OTHERMIMCLAREN HEALTH PLAN
5113029OTHERMIGREAT LAKES HEALTH PLAN
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619976271
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YAZDI N AMARIA M.D.
Provider Business Mailing Address
First Line : 111 S MONROE ST
Second Line :
City : STURGIS
State : MI
Zip : 49091-1728
Country : US
Telephone Number : 269-651-3218
Fax Number :
Provider Business Practice Location Address
First Line : 111 S MONROE ST
Second Line :
City : STURGIS
State : MI
Zip : 49091-1728
Country : US
Telephone Number : 269-651-3218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2005
Last Update Date : 05/27/2008

Similar Medicare Providers

1306010145 — YAZDI N. AMARIA,M.D.,P.C.
Practice Location Address:
111 S MONROE ST
STURGIS, MI
49091-1728
Practice Phone: 269-651-3218
Practice Fax: 269-651-3219
1245194240 — KRISTEN JENKOT
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Practice Fax:
1144223942 — DR. CHRISTOPHER W BUSSEMA DPM
Practice Location Address:
102 S LAKEVIEW ST
STURGIS, MI
49091-1947
Practice Phone: 269-651-2320
Practice Fax: 269-659-4704
1972506558 — FREDERICK WISEMAN DPM
Practice Location Address:
102 S LAKEVIEW AVE
STURGIS, MI
49091-1947
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Practice Fax: 269-659-4704
1235137993 — DR. ARSENIO TENORIO PARIAL M.D.
Practice Location Address:
600 S LAKEVIEW AVE , SUITE 102
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49091
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Practice Fax:
1275534570 — MRS. CAROL LYNN SHARP R.N. / OGNP
Practice Location Address:
600 S LAKEVIEW ST , SUITE 207
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49091-2371
Practice Phone: 269-659-4646
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Directions to “ DR. YAZDI N AMARIA M.D.” Practice Location

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