MARK FRANCIS PEZDA M. D. NPI 1427157197

NPI Information

NPI: 1427157197
Provider Name: MARK FRANCIS PEZDA, M. D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1977 E WATTLES RD
UNIT G
TROY, MI
ZIP 48085
Phone: (248) 528-3471
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Mark Francis Pezda, M. D. is a diagnostic radiology radiology in Troy, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark Francis Pezda, M. D. NPI is 1427157197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1977 E WATTLES RD
UNIT G
TROY, MI
ZIP 48085-047
Phone: (248) 528-3471

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	4301038365	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	OEO6L57034	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	B 48115	MEDICARE UPIN	MICHIGAN
3	4569046	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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