Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEILA ETTEFAGH, M.D.
ActiveLEILA ETTEFAGH, M.D. is a Interventional Vascular Surgery healthcare provider located in NOVI, Michigan. NPI 1861887911 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · NOVI, MI
Registration Details
- NPI Number
- 1861887911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2015 (11.373365923742 yrs)
- Last Updated
- Jun 13, 2022
- Licenses
-
4301117341 (MI)4301117341 (MI)
Practice Information
- Address
-
26750 PROVIDENCE PKWY STE 200NOVI, MI, 483741212Browse MI providers · Browse ZIP 48374
- Phone
- 8669742673
- Fax
- 8669392673
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in NOVI, MI
| Name | Credential | NPI |
|---|---|---|
| KARL ROBERT FREYDL | DO | 1720183353 |
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.