Individual
IMAN YAZDANI NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST FL 1, PHILADELPHIA, PA 19104-4229
(215) 662-2664
Mailing address
230 N 23RD ST APT 418, PHILADELPHIA, PA 19103-1276
(571) 516-0407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
LT001050
PA
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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