Jeevaka Yapa
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
30555 Greenfield Rd
Southfield
, Michigan 48076-1594
Jeevaka Yapa
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
30555 Greenfield Rd
Southfield
, Michigan 48076-1594
(248) 262-9104
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About
Features
Specialties
- Oral and Maxillofacial Pathology
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jeevaka Yapa
- 29425 Northwestern Hwy Ste. 330
- Southfield, MI
- Zip : 48034
- Fax : (248) 262-9104
- Phone : (248) 262-9100
Second Address
- Jeevaka Yapa
- 30555 Greenfield Rd
- Southfield, MI
- Zip : 48076-1594
- Fax : (248) 262-9104
- Phone : (248) 262-9100
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | 2901016026 | MI |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 16026 | MI |
National Provider Identifier
| NPI | 1013957281 |
|---|---|
| Provider Name | Jeevaka Yapa |
| First Address | Southfield, MI 48034 |
| Second Address | Southfield, MI 48076-1594 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 22/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1457523755 | GROUP NPI (01) | MI |
| 2901016026 | STATE LICENSE (01) | MI |
| U62192 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.