MEDICARE: YASMIN SAHUL, MD, PLLC

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
1	207Q00000X	Family Medicine Physician	4301075119	MI

General Provider Information

NPI Number	:	1659410546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YASMIN SAHUL, MD, PLLC

Provider Business Mailing Address
First Line	:	5039 VILLA LINDE PKWY
Second Line	:	SUITE 31
City	:	FLINT
State	:	MI
Zip	:	48532-3450
Country	:	US
Telephone Number	:	810-733-5390
Fax Number	:	810-733-6090

Provider Business Practice Location Address
First Line	:	5039 VILLA LINDE PKWY
Second Line	:	SUITE 31
City	:	FLINT
State	:	MI
Zip	:	48532-3450
Country	:	US
Telephone Number	:	810-733-5390
Fax Number	:	810-733-6090

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YASMIN SAHUL
Credential	:	M.D.
Telephone Number	:	810-733-5390

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/10/2007

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