Individual
MEHDI YAZDANPANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0345
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0345
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2004-0449
NM
2084P0800X
Psychiatry Physician
Primary
ME101868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000488500
—
FL
Enumeration date
02/06/2007
Last updated
11/22/2011
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