M & K Yazdani P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0017168 Issued in MD

Legal business name

M & K YAZDANI P A

Practice address

2555 Solomons Island Rd
Huntingtown, MD 20639

Phone

(410) 535-1695

Fax

(410) 535-8684

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Kioumarce Yazdani, MDNPI 1104810175

Title

Owner

Phone

(410) 535-1695

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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

• Kioumarce Yazdani, M.D.

  • Cardiovascular Disease Physician
  • Huntingtown, MD
  • NPI 1104810175
  Medicare reassignment Care Compare group NPD Authorized official
• Mahin S Yazdani, M.D.

  • Infectious Disease Physician
  • Huntingtown, MD
  • NPI 1134113103
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1679778336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 SOLOMONS ISLAND RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206398734",
            "telephone_number": "410-535-1695",
            "fax_number": "410-535-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SOLOMONS ISLAND RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "20639",
            "telephone_number": "410-535-1695",
            "fax_number": "410-535-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & K YAZDANI P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "YAZDANI",
        "authorized_official_first_name": "KIOUMARCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-535-1695",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0017168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE4776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Varkey Mathew, MD
• Manoj Mathur, MD
• Mukesh N Mathur, M.D.
• Shelley McClain

• Specialist in Huntingtown, MD
• Providers in Huntingtown, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.