Provider Demographics
NPI:1073529806
Name:DRS. ANDERSON AND YAZDANI LLC
Entity Type:Organization
Organization Name:DRS. ANDERSON AND YAZDANI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-BEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-265-0093
Mailing Address - Street 1:9400 LIVINGSTON RD STE 350
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4948
Mailing Address - Country:US
Mailing Address - Phone:301-265-0093
Mailing Address - Fax:301-265-0657
Practice Address - Street 1:9400 LIVINGSTON RD STE 350
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4948
Practice Address - Country:US
Practice Address - Phone:301-265-0093
Practice Address - Fax:301-265-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00411182174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF35267Medicare UPIN
MDG44484Medicare UPIN