Individual
MR. AIJAZ A YAZDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 N DIXIE AVE, SUITE 102, ELIZABETHTOWN, KY 42701-2520
(270) 735-9066
(270) 735-9036
Mailing address
914 N DIXIE AVE, SUITE 102, ELIZABETHTOWN, KY 42701-2520
(270) 735-9066
(270) 735-9036
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
32878
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
32878
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290014995
RAILROAD MEDICARE
KY
05
—
64328784
—
KY
01
—
7255
MEDICARE PTAN
KY
Enumeration date
02/02/2006
Last updated
07/08/2025
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