Individual
MALEKTAJ YAZDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 412-1860
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 412-1860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1154342178
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
1154342178
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305049
—
LA
Enumeration date
07/23/2006
Last updated
05/12/2011
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