Individual
SHAHRIAR YAZDANFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD YORK RD, KLEIN 404, PHILADELPHIA, PA 19141
(215) 456-7266
(215) 455-1933
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD034478L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000695366
—
PA
Enumeration date
04/18/2006
Last updated
08/21/2013
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