AMIR DEHDASHTIAN MD - NPI 1093451171 - Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Q: What is Amir Dehdashtian's NPI number?

The NPI number for Amir Dehdashtian is 1093451171. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Q: What is Amir Dehdashtian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Amir Dehdashtian was last updated on May 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amir Dehdashtian Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMIR DEHDASHTIAN MD (NPI 1093451171) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351049142) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093451171

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAMIR DEHDASHTIANCredential: MD

Location Address4029 AVE MARIA DRIVE, LOBBY A, SUITE 1200Ann Arbor, MI 48105

Mailing Address4029 Ave Maria Drive, Lobby A, Suite 1200Ann Arbor, MI 48105 · (734) 998-6022 · Fax (734) 998-6696

Phone(734) 998-6022

Fax(734) 998-6696

Sole ProprietorNo

Enumeration DateMay 11, 2022

NPPES CertifiedApril 26, 2022

✔ NPI 1093451171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351049142

Definition

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.

4029 AVE MARIA DRIVE, Ann Arbor, MI 48105

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amir Dehdashtian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIEN-WEI WANG MD