Provider Demographics
NPI:1215006044
Name:ALLERGY AND ASTHMA CLINIC RASHID A YAZIGI MD APM C
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA CLINIC RASHID A YAZIGI MD APM C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:A
Authorized Official - Last Name:YAZIGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-643-0497
Mailing Address - Street 1:106 SMART PLACE A
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458
Mailing Address - Country:US
Mailing Address - Phone:985-643-0497
Mailing Address - Fax:985-649-5990
Practice Address - Street 1:106 SMART PLACE A
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458
Practice Address - Country:US
Practice Address - Phone:985-643-0497
Practice Address - Fax:985-649-5990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3637R207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1148156Medicaid
LA1148156Medicaid
B61127Medicare UPIN