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NPI Code Detail

MEDICARE: AED QAS YONAN MD

MEDICARE: AED QAS YONAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1679411300
Entity Type Code : Individual
Provider Name (Legal Business Name) : AED QAS YONAN MD
Provider Business Mailing Address
First Line : 350 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4409
Country : US
Telephone Number : 602-406-6262
Fax Number :
Provider Business Practice Location Address
First Line : 350 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4409
Country : US
Telephone Number : 602-406-6262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ AED QAS YONAN MD” Practice Location

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