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IYARE E IZEVBAYE MBBS NPI 1720212814


NPI Information

NPI: 1720212814
Provider Name: IYARE E IZEVBAYE, MBBS
Classification: Pathology - 207ZP0007X
Entity Type: Individual

Specialization: Molecular Genetic Pathology

PECOS Registration: Yes

Address:
80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303
Phone: (780) 983-7765
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Iyare E Izevbaye, MBBS is a molecular genetic pathology pathology in Atlanta, GA with 26 years of experience. The provider is a molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. Iyare E Izevbaye, MBBS NPI is 1720212814. 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:

80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303-031
Phone: (780) 983-7765

The NPI 1720212814 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2009 and was last updated on 6/6/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0007XPathologyMolecular Genetic Pathology105698MINNESOTANo
2207ZP0007XPathologyMolecular Genetic Pathology54450MINNESOTANo
3390200000XStudent in an Organized Health Care Education/Training Program390200000XNo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
5207ZP0007XPathologyMolecular Genetic Pathology91802GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ENROLLEDMEDICAIDMINNESOTA
2ENROLLEDMEDICAIDIOWA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.