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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

POUYA ENTEZAMI, M.D.

Active

POUYA ENTEZAMI, M.D. is a Neurological Surgery healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1588058937 is currently active in the NPPES registry. Verify at CMS.

Neurological Surgery · CLINTON TOWNSHIP, MI

Registration Details

NPI Number
1588058937
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2015 (11.413716171704 yrs)
Last Updated
Mar 27, 2023
Licenses
63597 (NY)
4301506804 (MI)

Practice Information

Address
15855 19 MILE RD
CLINTON TOWNSHIP, MI, 480383504
Browse MI providers · Browse ZIP 48038
Phone
5862632300
Fax
3138761305
Primary Specialty
Neurological Surgery
207T00000X
Additional Specialty
Neurological Surgery

Other Neurological Surgery Providers in CLINTON TOWNSHIP, MI

Name Credential NPI
DR. ASSADOLLAH A MAZHARI M.D. 1982681409
ROLAND F CHALIFOUX JR. DO 1710912498
MANOUCHEHR NIKPOUR M.D. 1689693574
TAMEKA PETA-GAY JACKSON D.O. 1265755490
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.