Individual
YAZAN MADANAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2201 INWOOD RD # NC2.130, DALLAS, TX 75235-7320
(214) 645-4673
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.022414
OH
207RH0003X
Hematology & Oncology Physician
Primary
S1855
TX
Other
Enumeration date
06/28/2013
Last updated
06/10/2019
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