Individual
MOHAMMAD-ALI YAZDANI ABYANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2296 OPITZ BLVD STE 250, WOODBRIDGE, VA 22191-3345
(703) 844-4267
(703) 982-7238
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1832
(315) 798-1432
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101286129
VA
207N00000X
Dermatology Physician
299230
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018441370001
—
VA
Enumeration date
04/14/2015
Last updated
03/17/2026
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