Houssami, Yazan
Houssami, Yazan is an individual health care provider with primary practice located at 600 Professional Dr Ste 110, Lawrenceville GA 30046-7651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Houssami, Yazan can be contacted via phone (770) 995-0555.Contact Information
Primary practice address
600 Professional Dr Ste 110
Lawrenceville GA 30046-7651
Phone: (770) 995-0555
Fax: (770) 995-0682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 028011 | Georgia |
Profile Details
| NPI number | 1043211949 |
|---|---|
| LBN Legal business name | Houssami, Yazan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Oct 7th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043211949 | NPPES |
| Georgia | MEDICAID | 000311011A |
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