Individual
MASOUD YAZDI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 SAINT LANDRY ST, SUITE 1-C, LAFAYETTE, LA 70506-3549
(337) 233-3538
(337) 233-3539
Mailing address
224 SAINT LANDRY ST, SUITE 1-C, LAFAYETTE, LA 70506-3549
(337) 233-3538
(337) 233-3539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.07429R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1906565
—
LA
Enumeration date
10/24/2005
Last updated
07/08/2007
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