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DR. KHASHAYAR EBRAHIMZADEH MD NPI 1770144016


NPI Information

NPI: 1770144016
Provider Name: DR. KHASHAYAR EBRAHIMZADEH, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
5303 S CEDAR ST STE 205
LANSING, MI
ZIP 48911
Phone: (517) 887-4305
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DR. Khashayar Ebrahimzadeh, MD is a pediatrics in Lansing, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Khashayar Ebrahimzadeh, MD NPI is 1770144016. 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:

5303 S CEDAR ST STE 205
LANSING, MI
ZIP 48911-800
Phone: (517) 887-4305

The enumeration date for this NPI number is 6/26/2019 and was last updated on 6/26/2019.


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
1208000000XPediatrics4351045098MICHIGANYes

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
14351045098MEDICAIDMICHIGAN

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: 11/14/2023

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