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NPI Code Detail

MEDICARE: MONA YEZDANI MD

MEDICARE: MONA YEZDANI 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
1208800000XUrology PhysicianMD454801PA
2208800000XUrology PhysicianC10011732DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831416510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA YEZDANI MD
Provider Business Mailing Address
First Line : 2000 FOULK RD STE F
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-3642
Country : US
Telephone Number : 302-652-8990
Fax Number : 302-652-8646
Provider Business Practice Location Address
First Line : 2000 FOULK RD STE F
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-3642
Country : US
Telephone Number : 302-652-8990
Fax Number : 302-652-8646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2010
Last Update Date : 04/15/2025

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Directions to “ MONA YEZDANI MD” Practice Location

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