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YAZAN MAZEN SURADI M.D NPI 1952600223


NPI Information

NPI: 1952600223
Provider Name: YAZAN MAZEN SURADI, M.D
Classification: Psychiatry & Neurology - 2084N0008X
Entity Type: Individual

Specialization: Neuromuscular Medicine

Organization: PIEDMONT HOSPITALIST PHYSICIANS LLC

PECOS Registration: Yes

Address:
2 TAMPA GENERAL CIR FL CIR2
TAMPA, FL
ZIP 33606
Phone: (813) 396-9478
Get Directions

Yazan Mazen Suradi, M.D is a neuromuscular medicine psychiatry neurology in Tampa, FL with 16 years of experience. The provider is a neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). Yazan Mazen Suradi, M.D NPI is 1952600223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 TAMPA GENERAL CIR FL CIR2
TAMPA, FL
ZIP 33606-603
Phone: (813) 396-9478

The NPI 1952600223 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2011 and was last updated on 7/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0008XPsychiatry & NeurologyNeuromuscular MedicineME120537FLORIDAYes
22084N0400XPsychiatry & NeurologyNeurology4301116531MICHIGANNo
32084N0400XPsychiatry & NeurologyNeurologyTM00784TEXASNo
42084N0400XPsychiatry & NeurologyNeurologyME120537FLORIDANo
52084N0400XPsychiatry & NeurologyNeurology19223NEW HAMPSHIRENo
6390200000XStudent in an Organized Health Care Education/Training ProgramNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1018079600MEDICAIDFLORIDA
2GW89IOTHERFLORIDABLUE CROSS AND BLUE SHIELD
33118015MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.