Provider Demographics
NPI:1235833377
Name:YAZDAN PANAH, PAYA (MD)
Entity type:Individual
Prefix:
First Name:PAYA
Middle Name:
Last Name:YAZDAN PANAH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7760 WEST VOA PARK DR, STE B WEST CHESTER
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069
Mailing Address - Country:US
Mailing Address - Phone:513-475-5135
Mailing Address - Fax:513-475-5135
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-475-5135
Practice Address - Fax:513-475-5135
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program