Active NPI
Yazan Imad Mohd Khair Hamadneh, M.D.
- Student in an Organized Health Care Education/Training Program
- San Antonio, TX
National Provider Identifier
1780508598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- BP10098101
- Practice address
- 4499 Medical Drive
San Antonio, TX 78229 - Phone
- (210) 464-7563
- NPI assigned
- Aug 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10098101 | TX | Primary |
Addresses
Primary practice location
4499 Medical Drive
San Antonio, TX 78229
Mailing address
18 Al-Hakim an-Nisabouri Street
Apartment 2
Amman, AMMAN 11941
JO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1780508598",
"addresses": [
{
"country_code": "JO",
"country_name": "Jordan",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "18 AL-HAKIM AN-NISABOURI STREET",
"address_2": "APARTMENT 2",
"city": "AMMAN",
"state": "AMMAN",
"postal_code": "11941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 MEDICAL DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-464-7563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMADNEH",
"first_name": "YAZAN",
"middle_name": "IMAD MOHD KHAIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10098101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.