Provider Demographics
NPI:1962867887
Name:ALZUBAIDI, YASIR ALI (MD)
Entity type:Individual
Prefix:
First Name:YASIR
Middle Name:ALI
Last Name:ALZUBAIDI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3490 CALKINS RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3506
Mailing Address - Country:US
Mailing Address - Phone:810-733-7741
Mailing Address - Fax:810-733-8898
Practice Address - Street 1:424 S 56TH ST STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-2177
Practice Address - Country:US
Practice Address - Phone:602-685-5211
Practice Address - Fax:480-478-8095
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-18
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI4698-320207ZP0102X
KS444718207ZP0102X
MI4301505910207ZP0102X
OK38247207ZP0102X
KSE-9770207ZP0102X
AZ69886207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100286857Medicaid
MI1962867887Medicaid