Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 35.139538 | OH |
NPI | 1093193153 |
---|---|
Provider Name | Kinanah Yaseen |
First Address | Westlake, OH 44145-6217 |
Second Address | Cleveland, OH 44195-5612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2015 |
Last Update Date | 27/10/2020 |