IRADA MAMUKADZE MD
NPI 1568037273
Student in an Organized Health Care Education/Training Program in Lansing, MI

Active since May 25, 2021
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912(937) 219-1095 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Irada Mamukadze Md NPPES

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

IRADA MAMUKADZE MD (NPI 1568037273) is an individual student in an organized health care education/training program in Lansing, Michigan and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1568037273
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIRADA MAMUKADZECredential: MD
Location Address1200 E MICHIGAN AVE STE 655Lansing, MI 48912-1837
Mailing Address1200 E Michigan Ave Ste 655Lansing, MI 48912-1837
Sole ProprietorNo
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1568037273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1200 E MICHIGAN AVE STE 655, Lansing, MI 48912

Other Names 1

Other Name (5)Irada Akhmedova Md

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.

Surgery
1200 E MICHIGAN AVE STE 655
LANSING, MI 48912
Student in an Organized Health Care Education/Training Program
1200 E MICHIGAN AVE STE 655
LANSING, MI 48912
Surgery
1200 E MICHIGAN AVE STE 655
LANSING, MI 48912
Nurse Practitioner (Family)
1200 E MICHIGAN AVE STE 655
LANSING, MI 48912
Surgery
1200 E MICHIGAN AVE STE 655
LANSING, MI 48912
Surgery
1200 E MICHIGAN AVE STE 655
LANSING, MI 48912
Surgery
1200 E MICHIGAN AVE STE 655
LANSING, MI 48912
Student in an Organized Health Care Education/Training Program
1200 E MICHIGAN AVE STE 655
LANSING, MI 48912

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 Irada Mamukadze's NPI number?

The NPI number for Irada Mamukadze is 1568037273. It was assigned to this individual provider in the NPPES registry on May 25, 2021. The provider is also known as Irada Akhmedova MD.

Where is Irada Mamukadze located?

Irada Mamukadze practices at 1200 E Michigan Ave Ste 655, Lansing, MI 48912. The listed phone number is (937) 219-1095.

What is Irada Mamukadze'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 Irada Mamukadze was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.