Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OKTAI MAMEDOV, M.D.
Active Sole ProprietorDR. OKTAI MAMEDOV, M.D. is a Sports Medicine (IM) healthcare provider located in EAST LANSING, Michigan. NPI 1518152347 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · EAST LANSING, MI
Registration Details
- NPI Number
- 1518152347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2007 (18.953954234361 yrs)
- Last Updated
- Oct 4, 2024
- License
-
4301096000 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3515 COOLIDGE RDUNIT AEAST LANSING, MI, 488238014Browse MI providers · Browse ZIP 48823
- Phone
- 5177556888
- Fax
- 8885013585
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
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.