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Yazan Mazen Suradi, MD
Neuromuscular Medicine (Psychiatry & Neurology) Physician in Tampa, Florida
NPI 1952600223

Yazan Mazen Suradi is a Neuromuscular Medicine (Psychiatry & Neurology) Physician based in Orlando, FL and is specialized in Neuromuscular Medicine. Yazan Mazen Suradi practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Yazan Mazen Suradi is 1952600223 and holds a License No. 4301116531 (Florida).

The current practice location address for Yazan Mazen Suradi is 2 Tampa General Cir Fl Cir2, Tampa, FL and can be reached out via phone at 813-396-9478.

Location: 2 Tampa General Cir Fl Cir2, Tampa, FL, 32891-7770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952600223
Provider Name
Yazan Mazen Suradi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 Tampa General Cir Fl Cir2, Tampa, FL, 32891-7770
Phone Number
813-396-9478
Fax Number
Provider Enumeration Date
03/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018079600 05 FL
GW89I 01 FL BLUE CROSS AND BLUE SHIELD
3118015 05 NH
institution
Provider Business Practice Location Address Details
Address
2 Tampa General Cir Fl Cir2
City
Tampa
State
Florida
Zip
33606-3603
Phone Number
813-396-9478
Fax Number
person
Provider Business Mailing Address Details
Address
2 Tampa General Cir Fl Cir2
City
Tampa
State
Florida
Zip
33606-3603
Phone Number
813-396-9478
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neuromuscular Medicine
Taxonomy
2084N0008X
License No.
19223 (New Hampshire)
Definition
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).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
TM00784 (Texas)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301116531 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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