Physician Compare National (NPI:1477543239)

HEALTHCARE PROVIDER: MASOUD YAZDI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477543239
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547398828
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100506000499
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YAZDI
	Individual professional last name
Provider First Name	MASOUD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	224 SAINT LANDRY ST
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	LAFAYETTE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705063578
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3372333538
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAFAYETTE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190054
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	IBERIA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190102
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	190064
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	191302
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST MARTIN HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1477543239)

HEALTHCARE PROVIDER: MASOUD YAZDI M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information