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BIJAN MOAZEZI
NPI 1366054231
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since August 20, 2020
593 EDDY ST, PROVIDENCE, RI 02903(401) 793-2695(401) 444-4165 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2025, Jun 13, 2024, Aug 20, 2020 (3 updates tracked since 2020).

About Bijan Moazezi NPPES

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

BIJAN MOAZEZI (NPI 1366054231) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1366054231
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBIJAN MOAZEZI
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address240 E Huron St Ste 1-200Chicago, IL 60611-2909 · (312) 503-7975
Phone(401) 793-2695
Fax(401) 444-4165
Sole ProprietorNo
Enumeration DateAugust 20, 2020
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1366054231 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
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.
593 EDDY ST, Providence, RI 02903
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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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bijan Moazezi's NPI number?

The NPI number for Bijan Moazezi is 1366054231. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Bijan Moazezi located?

Bijan Moazezi practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 793-2695.

What is Bijan Moazezi's specialty?

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

When was this NPI record last updated?

The NPPES record for Bijan Moazezi was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.