Individual provider · Type 1 NPI

Naser Mohammadzadeh Rezaei

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1003459355 Active

Practice location

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576

Call (313) 494-6700 Map

Mailing address

2420 Bagley St Unit 219
Detroit, MI 48216-1986

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2901602938 (MI)
Periodontics 1223P0300X35770 (TX)

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.

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About NPI 1003459355

Naser Mohammadzadeh Rezaei's National Provider Identifier is 1003459355, issued on Oct 18, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 31, 2026.