GOLNAZ FAKOUR BAYAT SHIRAZI MD
NPI 1598453979
Student in an Organized Health Care Education/Training Program in Southaven, MS

Q: What is Golnaz Fakour Bayat Shirazi's NPI number?

The NPI number for Golnaz Fakour Bayat Shirazi is 1598453979. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Q: What is Golnaz Fakour Bayat Shirazi'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 April 25, 2023PECOS Enrolled

7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-4696 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2023, May 3, 2023 (2 updates tracked since 2023).

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About Golnaz Fakour Bayat Shirazi Md NPPES

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

GOLNAZ FAKOUR BAYAT SHIRAZI MD (NPI 1598453979) is an individual student in an organized health care education/training program in Southaven, Mississippi and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598453979

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGOLNAZ FAKOUR BAYAT SHIRAZICredential: MD

Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671-4742

Mailing Address7601 Southcrest PkwySouthaven, MS 38671-4742 · (901) 301-3570

Phone(662) 772-4696

Sole ProprietorNo

Enumeration DateApril 25, 2023

Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1598453979 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.

7601 SOUTHCREST PKWY, Southaven, MS 38671

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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)

Golnaz Fakour Bayat Shirazi 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 20

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

MID-SOUTH ANESTHESIA CONSULTANTS, PLLC

Specialist