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SHADAB AZEEM MOHAMMAD
NPI 1386448744
Student in an Organized Health Care Education/Training Program in Livonia, MI

Active since April 03, 2025
36475 FIVE MILE ROAD, LIVONIA, MI 48154(734) 765-5428(734) 655-8430 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Apr 3, 2025 (2 updates tracked since 2025).

About Shadab Azeem Mohammad NPPES

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

SHADAB AZEEM MOHAMMAD (NPI 1386448744) is an individual student in an organized health care education/training program in Livonia, Michigan and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1386448744
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHADAB AZEEM MOHAMMAD
Location Address36475 FIVE MILE ROADLivonia, MI 48154
Mailing Address36475 Five Mile RoadLivonia, MI 48154 · (734) 765-5428 · Fax (734) 655-8430
Phone(734) 765-5428
Fax(734) 655-8430
Sole ProprietorNo
Enumeration DateApril 3, 2025
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1386448744 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.
36475 FIVE MILE ROAD, Livonia, MI 48154
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Other Providers at the Same Location NPPES 3

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

NICHOLAS BRANSCOMB D.O.
Emergency Medicine
36475 FIVE MILE ROAD
LIVONIA, MI 48154
Wayne County (734) 655-1290
KAYLA PATRICIA HAY PA
Physician Assistant
36475 FIVE MILE ROAD, ST. MARY MERCY LIVONIA HOSPITAL
LIVONIA, MI 48154
Wayne County (734) 655-4800
ASIF SHAMEEM PACKIR-MOHIDEEN-SHUMS M.D.
Student in an Organized Health Care Education/Training Program
36475 FIVE MILE ROAD, ST. MARY MERCY HOSPITAL
LIVONIA, MI 48154
Wayne County (734) 655-2727

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 Shadab Azeem Mohammad's NPI number?

The NPI number for Shadab Azeem Mohammad is 1386448744. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Shadab Azeem Mohammad located?

Shadab Azeem Mohammad practices at 36475 Five Mile Road, Livonia, MI 48154. The listed phone number is (734) 765-5428.

What is Shadab Azeem Mohammad'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 Shadab Azeem Mohammad was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.