Soroush Yazdani, MD
Student in an Organized Health Care Education/Training Program in Staten Island, NY. Individual provider (NPI-1).
NPI number1124863683
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1124863683
- Entity type
- Individual (NPI-1)
- Name
- Soroush Yazdani
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2024
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
355 Bard Avenue1st Floor(Villa Bldg)
Staten Island, NY 10310
Phone 718-818-2419
Mailing address
355 Bard Avenue1st Floor(Villa Bldg)
Staten Island, NY 10310
Phone 718-818-2419
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All 811 Student in an Organized Health Care Education/Training Program providers in Staten Island · All 15,106 providers in Staten Island
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