| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KOUROSH YAZDANI | 1407474976 | 2023-08-13 |
Kourosh Yazdani is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407474976. Registration indicates Kourosh Yazdani is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Dr. Kourosh Yazdani MD |
| Practice Office Address | 3186 S MARYLAND PKWY LAS VEGAS, NV US |
| Practice Office Telephone | 7029615000 |
| Mailing Address | 1964 1ST AVE APT 11Q NEW YORK, NY 100296424 US |
| Business Telephone | 3474434435 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3100 N Tenaya Way | Las Vegas, NV 891280436 | 7029625000 |
| 9300 W Sunset Rd | Las Vegas, NV 891484844 | 7029165000 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 23104
NV |