Individual
YAKOV NIYAZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7261 SHERIDAN ST STE 100B, HOLLYWOOD, FL 33024-2708
(954) 561-6222
(954) 990-7650
Mailing address
7261 SHERIDAN ST STE 340, HOLLYWOOD, FL 33024-2726
(954) 561-6222
(954) 990-7650
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME161790
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118822200
—
FL
Enumeration date
04/14/2020
Last updated
01/03/2025
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