Provider Demographics
NPI:1487819132
Name:DUWAYRI, YAZAN (MD)
Entity Type:Individual
Prefix:DR
First Name:YAZAN
Middle Name:
Last Name:DUWAYRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:DIVISION OF VASCULAR SURGERY EMORY CLINIC BLDG A
Mailing Address - Street 2:1365 CLIFTON ROAD NE. 3RD FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-727-8413
Mailing Address - Fax:404-727-3396
Practice Address - Street 1:DIVISION OF VASCULAR SURGERY EMORY CLINIC BLDG A
Practice Address - Street 2:1365 CLIFTON ROAD NE. 3RD FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-727-8413
Practice Address - Fax:404-727-3396
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2011-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0653972086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery