Individual
DR. YASAMAN AHMADZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2121
Mailing address
100 MATHEWSON ST APT 623, PROVIDENCE, RI 02903-1876
(917) 215-5812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP05405
RI
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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