Provider Demographics
NPI:1992716781
Name:SOSKINA, YEVA (MD)
Entity type:Individual
Prefix:DR
First Name:YEVA
Middle Name:
Last Name:SOSKINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26222 TELEGRAPH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-1578
Mailing Address - Country:US
Mailing Address - Phone:248-827-7200
Mailing Address - Fax:248-827-2641
Practice Address - Street 1:29355 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 120
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1578
Practice Address - Country:US
Practice Address - Phone:248-352-5200
Practice Address - Fax:248-352-5205
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIYS065439207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0106364442OtherBCBS
128973OtherCARE CHOICES
C8083OtherMCARE
128973OtherPREFERRED CHOICES
2436327OtherAETNA
16809OtherHEALTH PLAN OF MICHIGAN
7282OtherCAPE
3422206001OtherCIGNA
MI3501653Medicaid
0M71620002Medicare ID - Type Unspecified
7282OtherCAPE
16809OtherHEALTH PLAN OF MICHIGAN