| Arastoo Yazdani Md Pc | |
|
9135 Piscataway Road Suite 235 Clinton MD 20735 | |
| (301) 877-2150 | |
| (301) 877-2154 |
| Full Name | Arastoo Yazdani Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9135 Piscataway Road, Clinton, Maryland |
| Authorized Official Name and Position | Arastoo Yazdani (PRESIDENT) |
| Authorized Official Contact | 3018772150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arastoo Yazdani Md Pc P.o. Box 2636 Reston VA 20195 Ph: (301) 877-2150 | Arastoo Yazdani Md Pc 9135 Piscataway Road Suite 235 Clinton MD 20735 Ph: (301) 877-2150 |
| NPI Number | 1770592446 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 04/06/2010 |
| Medicare PECOS PAC ID | 2961487913 |
|---|---|
| Medicare Enrollment ID | O20040623000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770592446 | NPI | - | NPPES |
| 541181500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0050454 (Maryland) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| Provider Name | Arastoo Yazdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326019357 PECOS PAC ID: 6204811250 Enrollment ID: I20040701001259 |
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