MRS. MAHVISH RENZU MD
NPI 1760129449
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Q: What is Mahvish Renzu's NPI number?

The NPI number for Mahvish Renzu is 1760129449. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Q: What is Mahvish Renzu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mahvish Renzu was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 16, 2022PECOS Enrolled

44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3000 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, Feb 13, 2023, May 16, 2022 (3 updates tracked since 2022).

On this page

About Mrs. Mahvish Renzu Md NPPES

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

MRS. MAHVISH RENZU MD (NPI 1760129449) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Darby.

NPPES Registry Identity

NPI1760129449

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMRS. MAHVISH RENZUCredential: MD

Location Address44405 WOODWARD AVEPontiac, MI 48341-5023

Mailing Address44405 Woodward Ave # H-23Pontiac, MI 48341-5023 · (248) 858-3234 · Fax (248) 858-6233

Phone(248) 858-3000

Sole ProprietorYes

Enumeration DateMay 16, 2022

Last NPPES UpdateJune 19, 20233 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1760129449 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.

44405 WOODWARD AVE, Pontiac, MI 48341

Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 Lansdowne AvenueDarby, PA 19023 · Phone (610) 237-4684

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mahvish Renzu 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.

DR. KRASSIMIR LALEV DENCHEV M.D.

Anesthesiology (Critical Care Medicine)