Individual
MRS. MAHIN S YAZDANI
Active
Individual
MRS. MAHIN S YAZDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D17774
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220291300
—
MD
01
—
406112094
MEDICARE RAILROAD
—
01
—
76450002
BC/BS MD
MD
01
—
810924
MDIPA, OPTIMUM CHOICE
MD
Enumeration date
09/07/2005
Last updated
04/29/2011
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