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1164095881
YASAMAN AHMADZADEH
PROVIDENCE, RI
NPI
1164095881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI LP05405)
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
Dr. YASAMAN AHMADZADEH MD
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2121
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Mailing Address
Dr. YASAMAN AHMADZADEH MD
100 MATHEWSON ST APT 623
PROVIDENCE, RI 02903-1876
Phone number: 917-215-5812
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