| Yamani MD LLC | |
|
1745 S Highland Ave Clearwater FL 33756-1852 | |
| (727) 587-0377 | |
| (727) 587-0527 |
| Full Name | Yamani MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1745 S Highland Ave, Clearwater, Florida |
| Authorized Official Name and Position | Karen P Hayes (CFO) |
| Authorized Official Contact | 3527990046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yamani MD LLC 14690 Spring Hill Dr Ste 101 Spring Hill FL 34609-8102 Ph: (352) 799-0046 | Yamani MD LLC 1745 S Highland Ave Clearwater FL 33756-1852 Ph: (727) 587-0377 |
| NPI Number | 1700652799 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 1557704848 |
|---|---|
| Medicare Enrollment ID | O20240202002639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700652799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Marc S Barasch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093701732 PECOS PAC ID: 0749187508 Enrollment ID: I20031218000541 |
| Provider Name | Mohammad Ilyas Yamani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609873322 PECOS PAC ID: 9133104037 Enrollment ID: I20110107000060 |
| Provider Name | Mustapha Steven Benjouali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356753867 PECOS PAC ID: 9638397995 Enrollment ID: I20140827002612 |
| Provider Name | Erin Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043329956 PECOS PAC ID: 3476578394 Enrollment ID: I20151103000213 |
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