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Individual
ROYA YAZDANI
Active
Individual
ROYA YAZDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016SH
BCBS OF TEXAS
TX
05
—
2034587-03
—
TX
05
—
2878498-01
—
TX
01
—
862N97
BCBS OF TEXAS
TX
01
—
D07564
MEDICARE PALMETTO RR
TX
01
—
P01001631
MEDICARE PALMETTO RR
TX
Enumeration date
10/07/2011
Last updated
06/05/2013
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