DR. AMIRREZA ABDOLMALEKI MD
NPI 1194342196
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Amirreza Abdolmaleki's NPI number?

The NPI number for Amirreza Abdolmaleki is 1194342196. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Q: What is Amirreza Abdolmaleki's specialty?

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

Active since June 25, 2020

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2020, Jun 25, 2020 (2 updates tracked since 2020).

On this page

About Dr. Amirreza Abdolmaleki Md NPPES

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

DR. AMIRREZA ABDOLMALEKI MD (NPI 1194342196) is an individual student in an organized health care education/training program in Jackson, Michigan, licensed in Michigan (4351045980) and active in the NPI registry since June 2020. He maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1194342196

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. AMIRREZA ABDOLMALEKICredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 205-4800

Phone(517) 205-4800

Sole ProprietorNo

Enumeration DateJune 25, 2020

Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration

NPPES CertifiedAugust 22, 2020

✔ NPI 1194342196 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 · 4351045980

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.

205 N EAST AVE, Jackson, MI 49201

Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 E Michigan Ave Ste 102Jackson, MI 49201-1406 · Phone (517) 205-1731 · Fax (517) 205-7694

Other Providers at the Same Location NPPES 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant