Basic Information
| Provider Information | |||||||||
| NPI: | 1891765426 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZUREIKAT | ||||||||
| FirstName: | GEORGE | ||||||||
| MiddleName: | YACOUB | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28801 PLYMOUTH RD | ||||||||
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| City: | LIVONIA | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481502385 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7342662780 | ||||||||
| FaxNumber: | 7344669615 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 HURLEY PLZ | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485035902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102579519 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2006 | ||||||||
| LastUpdateDate: | 09/27/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0203X | 4301046328 | MI | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Critical Care Medicine |
No ID Information.