Yasaman Ghaderidehkordi
Student in an Organized Health Care Education/Training Program in Gainesville, FL. Individual provider (NPI-1).
NPI number1043129554
StatusActive
Last updated in NPPESSep 13, 2026
Details
- NPI
- 1043129554
- Entity type
- Individual (NPI-1)
- Name
- Yasaman Ghaderidehkordi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2026
- Certification date
- Sep 13, 2026
- Last updated
- Sep 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | DRPM3073 | FL | Yes |
Practice location
1395 Center DrGainesville, FL 32610-0001
Phone 352-273-6705
Mailing address
1395 Center DrGainesville, FL 32610-0001
Phone 352-273-6705
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