Yazdanpanah, Wahid
Yazdanpanah, Wahid is an individual health care provider with primary practice located at 1660 Mulkey Rd Ste B , Austell GA 30106-1105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Yazdanpanah, Wahid can be contacted via phone (678) 460-2700.Contact Information
Primary practice address
1660 Mulkey Rd Ste B
Austell GA 30106-1105
Phone: (678) 460-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 059794 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 059794 | Georgia |
Profile Details
| NPI number | 1255527339 |
|---|---|
| LBN Legal business name | Yazdanpanah, Wahid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Oct 19th, 2011 - about 13 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 | 1255527339 | NPPES |
| Georgia | MEDICAID | 869171884A |
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