Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301082653 | MI |
N | 111NI0900X | Internist | 4301082653 | MI |
N | 207RC0200X | Critical Care Medicine | 4301082653 | MI |
Y | 207RN0300X | Nephrologist | 4301082653 | MI |
NPI | 1023210861 |
---|---|
Provider Name | Dr. Lenar Tatios Yessayan |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48104-6796 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 26/05/2016 |