Niyazov, Yakov

Niyazov, Yakov is an individual health care provider with primary practice located at 7261 Sheridan St Ste 100B , Hollywood FL 33024-2708. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Niyazov, Yakov can be contacted via phone (954) 561-6222.

Contact Information

Primary practice address
7261 Sheridan St Ste 100B Hollywood FL 33024-2708
Phone: (954) 561-6222
Fax: (954) 990-7650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME161790 Florida

Profile Details

NPI number 1992324420
LBN Legal business name Niyazov, Yakov
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2020
Last updated Jan 3rd, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992324420 NPPES
Florida MEDICAID 118822200

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