PAYAUM FOTOVAT-AHMADI NPI 1225715683

NPI Information

NPI: 1225715683
Provider Name: PAYAUM FOTOVAT-AHMADI
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
27270 EVERGREEN RD
LATHRUP VILLAGE, MI
ZIP 48076
Phone: (734) 812-0429
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Payaum Fotovat-ahmadi is a student in an organized health care education training program in Lathrup Village, MI. The provider is 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. Payaum Fotovat-ahmadi NPI is 1225715683. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27270 EVERGREEN RD
LATHRUP VILLAGE, MI
ZIP 48076-249
Phone: (734) 812-0429

The enumeration date for this NPI number is 6/28/2023 and was last updated on 6/28/2023.

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	390200000X	Student in an Organized Health Care Education/Training Program				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	Other Provider Identifier Issuer
1	F313676025878	OTHER	MICHIGAN	LICENSE NUMBER

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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