Migdady, Yazan
Migdady, Yazan is an individual health care provider with primary practice located at 3303 S Bond Ave , Portland OR 97239-4501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Migdady, Yazan can be contacted via phone (503) 494-5058.Contact Information
Primary practice address
3303 S Bond Ave
Portland OR 97239-4501
Phone: (503) 494-5058
Fax: (503) 494-5065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LP01899 | Rhode Island |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME115594 | Florida |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD205893 | Oregon |
Profile Details
| NPI number | 1306157458 |
|---|---|
| LBN Legal business name | Migdady, Yazan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Aug 25th, 2021 - about 4 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 | 1306157458 | NPPES |
| Florida | MEDICAID | 009117200 |
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