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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255527339 NPPES
Georgia MEDICAID 869171884A

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