MAZEN EL-KOUDSI NP NPI 1245821131

NPI Information

  • NPI: 1245821131
  • Provider Name: MAZEN EL-KOUDSI, NP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12940 W WARREN AVE
    DEARBORN, MI
    ZIP 48126
  • Phone: (313) 945-8210

Map and Directions

Get Directions

NPI Details

Mazen El-koudsi, NP is a primary care nurse practitioner in Dearborn, MI. Mazen El-koudsi, NP NPI is 1245821131. 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:

12940 W WARREN AVE
DEARBORN, MI
ZIP 48126-535
Phone: (313) 945-8210
Fax: (313) 945-0729

The NPI 1245821131 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 2/2/2021 and was last updated on 5/11/2021.

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
1363LG0600XNurse PractitionerGerontology4704343520MICHIGANNo
2363LP2300XNurse PractitionerPrimary Care4704343520MICHIGANYes
3363LA2200XNurse PractitionerAdult Health4704343520MICHIGANNo

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI