KRYSTAL YEE-YUN CHAN-ZLATOPOLSKY (NPI# 1841720539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841720539 |
| Entity Type | Individual |
| Full Name | KRYSTAL YEE-YUN CHAN-ZLATOPOLSKY |
| Credential | MD |
| Practice Address |
22201 Moross Rd Ste 80 Detroit MI 48236-2166 |
| Mailing Address |
1500 E Medical Center Dr Spc 5718 Ann Arbor MI 48109-5718 |
| Practice Telephone | (313) 343-3800 |
| Practice Fax Number | 3133434756 |
| Mailing Telephone | 7349369777 |
| Mailing Fax Number | 3133434756 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301113056 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
5315215491 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19251 Mack Ave Ste 340, Grosse Pointe Woods, MI 482362891 | 3133437979 |
| Street Address |
22201 MOROSS RD STE 80 |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164043774 | Fatima-zahra Maamir | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2020-05-05 |
| 1336769157 | Andrea Batshon | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2020-04-22 |
| 1285254292 | Shiwanda Govan | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2020-04-20 |
| 1578183539 | Genevieve Donahey | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2020-04-20 |
| 1942829262 | Akhila Lattupally | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2020-04-16 |
| 1447803127 | Daaman Mittal | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2019-07-22 |
| 1336792662 | Preethi Conjeevaram Selvakumar | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2019-07-16 |
| 1184276743 | Saad Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2019-07-14 |
| 1720640253 | Anusha Mopuri | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2019-07-04 |
| 1871155796 | Yasmin Yousuf | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851505978 | Terry Marc Dickson | Pediatrics | 745 S Garfield Ave, Suite C, Traverse City, MI 49686-3479 | 2007-05-09 |
| 1023177268 | Robert Bulten | Pediatrics | 4340 Burlingame Ave Sw, Wyoming, MI 49509-3770 | 2006-12-06 |
| 1144313107 | Cheryl Hope Hack | Pediatrics | 30301 Woodward Ave, Suite Ll 165, Royal Oak, MI 48073-0979 | 2006-10-02 |
| 1063449247 | Marsha Dawn Rappley | Pediatrics | A110 Clinical Ctr, 138 Service Rd, East Lansing, MI 48824-1313 | 2006-06-26 |
| 1073093290 | Rose Margret Thacker | Pediatrics | 32100 Telegraph Rd Ste 185, Bingham Farms, MI 48025-2453 | 2018-08-16 |
| 1073024469 | Alison Campos | Pediatrics | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2017-10-12 |
| 1114375292 | Nicole Patrice Hamp | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5718 | 2016-05-30 |
| 1487068383 | Robin Johnson Cook | Pediatrics | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2014-06-18 |
| 1134431968 | Meghan Ruth Behrmann | Pediatrics | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2010-07-09 |
| 1457566382 | William Beaumont Hospital | Pediatrics | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2007-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.