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YAZAN EMAD KADDORAH M.D.
NPI 1790622678
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 30, 2026
1611 NW 12TH AVENUE, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Yazan Emad Kaddorah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YAZAN EMAD KADDORAH M.D. (NPI 1790622678) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1790622678
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameYAZAN EMAD KADDORAHCredential: M.D.
Location Address1611 NW 12TH AVENUEMiami, FL 33136
Mailing Address1611 Nw 12th Avenue, Holtz Et 2169Miami, FL 33136 · (305) 585-1280
Phone(305) 355-1122
Sole ProprietorNo
Enumeration DateApril 30, 2026
✔ NPI 1790622678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

1611 NW 12TH AVENUE, Miami, FL 33136
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Internal Medicine
1611 NW 12TH AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-8957
MRS. CECILIA LILIANA ORAZI P.T., M.S., O.C.S.
Physical Therapist (Orthopedic)
1611 NW 12TH AVENUE, REHAB BUILDING - ROOM 146
MIAMI, FL 33136
Miami-Dade County (305) 585-6842
FLORENCE KAPLAN ARNP
Nurse Practitioner (Family)
1611 NW 12TH AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-8545
MRS. LORNETTE DEMERIA PATRICK ARNPC
Nurse Practitioner
1611 NW 12TH AVENUE, JACKSON MEDICAL CENTER
MIAMI, FL 33136
Miami-Dade County (305) 385-5495
MR. ADAM SILVERMAN OTR/L
Occupational Therapist
1611 NW 12TH AVENUE, R143
MIAMI, FL 33136
Miami-Dade County (305) 585-6985
MRS. JEAN H WEBLEY CNM
Nurse Practitioner (Women's Health)
1611 NW 12TH AVENUE
MIAMI-DADE, FL 33136
Miami-Dade County (305) 585-5116
MS. JEANNINE ELAINE MORRIS ARNP
Advanced Practice Midwife
1611 NW 12TH AVENUE
MIAMI, FL 33136
Miami-Dade County (305) 585-5116
DR. VENKATA SRIDHAR ANNE M.D
Radiology (Vascular & Interventional Radiology)
1611 NW 12TH AVENUE, JACKSON MEMORIAL HOSPITAL, WEST WING NO. 279
MIAMI, FL 33136
Miami-Dade County (305) 585-7500

Frequently Asked Questions

What is Yazan Kaddorah's NPI number?

The NPI number assigned to this healthcare provider is 1790622678, enumerated as an "individual" on April 30, 2026.

Where is the provider located?

The provider is located at 1611 NW 12TH AVENUE MIAMI, FL 33136 and the phone number is (305) 355-1122.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.