MARIAM ALI MAZLOUM NPI 1720636673

NPI Information

  • NPI: 1720636673
  • Provider Name: MARIAM ALI MAZLOUM
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27777 INKSTER RD STE 100
    FARMINGTON HILLS, MI
    ZIP 48334
  • Phone: (248) 436-4467

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NPI Details

Mariam Ali Mazloum is a family nurse practitioner in Farmington Hills, MI with 3 years of experience. Mariam Ali Mazloum NPI is 1720636673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27777 INKSTER RD STE 100
FARMINGTON HILLS, MI
ZIP 48334-326
Phone: (248) 436-4467

The NPI 1720636673 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 9/3/2019 and was last updated on 8/1/2024.

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
1363LF0000XNurse PractitionerFamily4704342642MICHIGANYes
2163W00000XRegistered Nurse4704342642MICHIGANNo

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

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