Individual
SAMIR G YEZDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-1619
Mailing address
100 E LANCASTER AVE, MOB SOUTH 422, WYNNEWOOD, PA 19096-3450
(484) 476-1619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
318501
NY
208600000X
Surgery Physician
MT221517
PA
Other
Enumeration date
04/01/2020
Last updated
07/25/2022
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