Provider Demographics
NPI:1356313548
Name:YAZIJI, HADI (MD)
Entity Type:Individual
Prefix:DR
First Name:HADI
Middle Name:
Last Name:YAZIJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 432160
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243-2160
Mailing Address - Country:US
Mailing Address - Phone:305-267-7979
Mailing Address - Fax:786-513-0175
Practice Address - Street 1:8700 W FLAGLER ST STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2535
Practice Address - Country:US
Practice Address - Phone:305-267-7979
Practice Address - Fax:786-513-0175
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88998207ZC0500X, 207ZP0105X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268938300Medicaid
FL032127300Medicaid
FLH13012Medicare UPIN
FLU1888ZMedicare ID - Type Unspecified