Individual ProviderHamid YazdiEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3111PECOS EnrollmentBased on the most recent information from CMS, provider Hamid Yazdi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1639350655Provider TypeIndividualFull NameYazdi, HamidCredentialMDGenderMaleSole ProprietorNoEnumeration Date11/19/2007Last Updated9/23/2013Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3111FaxUnlisted FaxMailing LocationMailing AddressPO Box 75567, Baltimore, MD 21275-5567PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101242183VirginiaCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseD76277Maryland