Organization Active NPI

Yazdy-Sokhandan PA

  • Specialist
  • Greenville, SC
National Provider Identifier
1104000694
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17953 Issued in SC
Legal business name
YAZDY-SOKHANDAN PA
Practice address
357 Woodruff Rd
Greenville, SC 29607-3415
Phone
(864) 627-5337
Fax
(864) 627-9301
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. George Pahis
Title
Practice Manager
Phone
(864) 627-5337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 17953 SC Primary

Addresses

Primary practice location

357 Woodruff Rd
Greenville, SC 29607-3415

Mailing address

357 Woodruff Rd
Greenville, SC 29607-3415
Phone (864) 627-5337

Other identifiers 1

IdentifierTypeStateIssuer
T20518MedicaidSC

National Provider Directory

National Provider Directory

Locations

109 Professional Ct
Anderson, SC 29621
Phone (864) 226-0304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1104000694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073415",
            "telephone_number": "864-627-5337",
            "fax_number": "864-627-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073415",
            "telephone_number": "864-627-5337",
            "fax_number": "864-627-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAZDY-SOKHANDAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "PAHIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-627-5337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "17953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T20518",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.