NPI 1124514187 · live from the CMS NPI Registry
Navid Ahsani, DO
Family Medicine in Lafayette, IN. National Provider Identifier 1124514187, active.
NPI record
| NPI | 1124514187 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3920 St Francis Way Ste 209, Lafayette, IN 47905 |
| Practice phone | 765-775-2830 |
| Mailing address | Po Box 781076, Detroit, MI 48278 |
| Enumerated | July 2, 2018 |
| Last updated | December 28, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 02006052A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.