Provider Demographics
NPI:1467949933
Name:YAZDANIE, MOHAMMAD SAAD (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:SAAD
Last Name:YAZDANIE
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 1:555 E MEDICAL CENTER BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4367
Mailing Address - Country:US
Mailing Address - Phone:281-488-7213
Mailing Address - Fax:281-488-1387
Practice Address - Street 1:555 E MEDICAL CENTER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4367
Practice Address - Country:US
Practice Address - Phone:281-488-7213
Practice Address - Fax:281-488-1387
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT6419207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program