Provider Demographics
NPI:1760585574
Name:SEDGHI, YABIZ (MD)
Entity Type:Individual
Prefix:
First Name:YABIZ
Middle Name:
Last Name:SEDGHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 E GALBRAITH RD STE 205
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6704
Mailing Address - Country:US
Mailing Address - Phone:513-985-0741
Mailing Address - Fax:513-985-0748
Practice Address - Street 1:4760 E GALBRAITH RD STE 205
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6704
Practice Address - Country:US
Practice Address - Phone:513-985-0741
Practice Address - Fax:513-985-0748
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34550207RC0000X, 207RI0011X
KY46716207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0089519Medicaid
KYP01355985OtherRR MEDICARE
LA1058645Medicaid
KYP01312559OtherRR MEDICARE
LA08120777Medicaid
KY7100259090Medicaid
KYP01312559OtherRR MEDICARE
LA4R0937061Medicare PIN
LA1058645Medicaid
KY7100259090Medicaid
KYK107691Medicare PIN
AL102I065925Medicare PIN