Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAYAUM FOTOVAT-AHMADI, MD
Active Sole ProprietorPhysical Medicine & Rehabilitation · LATHRUP VILLAGE, MI
Registration Details
- NPI Number
- 1225715683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2023 (2.8567549352514 yrs)
- Last Updated
- Nov 5, 2024
- License
-
4301512877 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27270 EVERGREEN RDLATHRUP VILLAGE, MI, 480763249Browse MI providers · Browse ZIP 48076
- Phone
- 7348120429
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in LATHRUP VILLAGE, MI
| Name | Credential | NPI |
|---|---|---|
| KERTIA LIBRETTO BLACK | MD | 1467499954 |
| JAMES THOMAS GILAS | M. D. | 1184832925 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.