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DR. ISMAEL DAVID YANGA M.D. NPI 1184760670


NPI Information

NPI: 1184760670
Provider Name: DR. ISMAEL DAVID YANGA, M.D.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
12851 GRAND RIVER RD
BRIGHTON, MI
ZIP 48116
Phone: (810) 225-2506
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DR. Ismael David Yanga, M.D. is an addiction medicine family medicine in Brighton, MI with 20 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Ismael David Yanga, M.D. NPI is 1184760670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

12851 GRAND RIVER RD
BRIGHTON, MI
ZIP 48116-506
Phone: (810) 225-2506
Fax: (810) 220-5509

The NPI 1184760670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 5/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301084033MICHIGANNo
2207QA0401XFamily MedicineAddiction Medicine4301084033MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15214028MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.