Provider Demographics
NPI:1285057208
Name:EMAF GI, PA
Entity type:Organization
Organization Name:EMAF GI, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YEMI
Authorized Official - Middle Name:M
Authorized Official - Last Name:FASAKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-382-9609
Mailing Address - Street 1:12309 WINDING SHORES DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6100
Mailing Address - Country:US
Mailing Address - Phone:281-382-9609
Mailing Address - Fax:
Practice Address - Street 1:26103 INTERSTATE 45 N
Practice Address - Street 2:SUITE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1902
Practice Address - Country:US
Practice Address - Phone:281-764-9500
Practice Address - Fax:281-764-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty