HAISUM BAKTASHI MD
NPI 1770330078
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since May 03, 2024
1611 NW 12TH AVE, MIAMI, FL 33136(502) 996-0409 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2025, May 3, 2024 (2 updates tracked since 2024).

About Haisum Baktashi Md NPPES

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

HAISUM BAKTASHI MD (NPI 1770330078) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1770330078
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAISUM BAKTASHICredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136
Mailing Address1611 Nw 12th AveMiami, FL 33136
Sole ProprietorNo
Enumeration DateMay 3, 2024
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
✔ NPI 1770330078 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.
1611 NW 12TH AVE, Miami, FL 33136

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Haisum Baktashi's NPI number?

The NPI number for Haisum Baktashi is 1770330078. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Haisum Baktashi located?

Haisum Baktashi practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (502) 996-0409.

What is Haisum Baktashi'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 Haisum Baktashi was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.