Individual
MADIHA SHAHID YAZDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3419 22ND ST, LUBBOCK, TX 79410-1334
(806) 796-3000
(806) 796-3006
Mailing address
9127 JUSTICE AVE, LUBBOCK, TX 79424-7861
(615) 300-0616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
S7828
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
S7828
TX
390200000X
Student in an Organized Health Care Education/Training Program
TL.0007961
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F5406
MEDICARE
TX
05
—
92824374
—
NM
Enumeration date
05/28/2015
Last updated
09/01/2020
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