DR. ASLAN EFENDIZADE (NPI# 1508394941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508394941 |
| Entity Type | Individual |
| Full Name | DR. ASLAN EFENDIZADE |
| Credential | DO |
| Practice Address |
4201 St Antoine Umc 9c Detroit MI 48027 |
| Mailing Address |
2130 Wrenson St Ferndale MI 48220 |
| Practice Telephone | 3139660880 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-04-25 |
| NPI Deactivation Date | 01/03/2018 |
| NPI Reactivation Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4201 ST ANTOINE UMC 9C |
| City | DETROIT |
| State | MI |
| Zip Code | 48027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689611675 | Mary Beth Lepczyk | Nurse Practitioner | 4201 St Antoine, Ste 5b, Detroit, MI 48201-2153 | 2006-05-31 |
| 1700499654 | Aisha Omer Naeem Elahmadi | Internal Medicine | 4201 St Antoine, Room 2e-uhc, Detroit, MI 48201 | 2020-08-28 |
| 1427679935 | Ivan Alexander Escudero | Student in an Organized Health Care Education/Training Program | 4201 St Antoine, Uhc-9c, Detroit, MI 48201 | 2020-05-06 |
| 1821619552 | Tushar Anil Shetty | Student in an Organized Health Care Education/Training Program | 4201 St Antoine, Uhc4c, Detroit, MI 48201 | 2020-05-05 |
| 1922628676 | Nathan Patrick Tausch | Student in an Organized Health Care Education/Training Program | 4201 St Antoine, Rm 6g-uhc, Detroit, MI 48201 | 2020-04-23 |
| 1720641798 | Andrew Harb | Student in an Organized Health Care Education/Training Program | 4201 St Antoine, Uhc, Detroit, MI 48201 | 2019-04-16 |
| 1821351396 | Regina Dupe Nagy | Obstetrics & Gynecology | 4201 St Antoine, Ste 4c, Detroit, MI 48201-2153 | 2012-06-20 |
| 1154559664 | Krishna Balabhadrapatruni | Internal Medicine | 4201 St Antoine, Uhc 5c, Detroit, MI 48201 | 2009-06-24 |
| 1518116623 | Darlene Joyce Allen | Midwife | 4201 St Antoine, Ste 4c, Detroit, MI 48201-2153 | 2008-09-12 |
| 1568621696 | Deepti Zutshi | Psychiatry & Neurology | 4201 St Antoine, Ste 8a & 8b, Detroit, MI 48201-2153 | 2008-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437211083 | Shana Lynn Spencer | Counselor | 400 Stoddard Rd., Memphis, MI 48027 | 2006-12-13 |
| 1881870624 | Amanda Gaye Caudill | Day Training/Habilitation Specialist | 7902 Sparling Rd, Wales, MI 48027-2115 | 2008-01-10 |
| 1336637412 | Heather Lemanski | Midwife | 9120 Green Rd, Wales, MI 48027-2400 | 2018-04-25 |
| 1083839005 | Katherine May Glod | Registered Nurse | 1405 Cove Rd, Wales, MI 48027-2909 | 2007-04-16 |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912516790 | Omar Choudhury | Student in an Organized Health Care Education/Training Program | Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2020-07-28 |
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1932725959 | Devonn Eli Israil | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 | 2020-06-25 |
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.