Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Soroush Yazdani, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124863683

Soroush Yazdani, MD is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Avenue 1st Floor(villa Bldg)
Staten Island, NY 10310
Phone: (718) 818-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124863683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

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