Organization
M & K YAZDANI P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIOUMARCE YAZDANI MD (OWNER)
(410) 535-1695
Entity
Organization
Contact information
Practice address
2555 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639
(410) 535-1695
(410) 535-8684
Mailing address
2555 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639-8734
(410) 535-1695
(410) 535-8684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0017168
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE4776
MEDICARE RAILROAD
—
Enumeration date
06/20/2007
Last updated
08/21/2024
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