Yanga, Ismael David

Yanga, Ismael David is an sole proprietor health care provider with primary practice located at 12851 Grand River Rd , Brighton MI 48116-8506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Yanga, Ismael David can be contacted via phone (810) 225-2506.

Contact Information

Primary practice address
12851 Grand River Rd Brighton MI 48116-8506
Phone: (810) 225-2506
Fax: (810) 220-5509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301084033 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 4301084033 Michigan

Profile Details

NPI number 1184760670
LBN Legal business name Yanga, Ismael David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated May 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184760670 NPPES
Michigan MEDICAID 5214028

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