Mohamed Mounir Gazayerli, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301031263 Issued in MI

Practice address

1555 W Big Beaver Rd
BLDG, G
Troy, MI 48084-3525

Phone

(248) 643-4646

Fax

(248) 614-0123

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1790714897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 W BIG BEAVER RD",
            "address_2": "BLDG, G",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843525",
            "telephone_number": "248-643-4646",
            "fax_number": "248-614-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W BIG BEAVER RD",
            "address_2": "BLDG, G",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843525",
            "telephone_number": "248-643-4646",
            "fax_number": "248-614-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZAYERLI",
        "first_name": "MOHAMED",
        "middle_name": "MOUNIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "MG031263",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301031263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1106349341",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lane Gatt, M.D.
• Sami Gauthier, NP
• Andrew K Gavagan, MD
• Cheryl E Gawlik, MA, LLP, LMSW
• Esli Gaytan
• Nathan Gearhart
• Caroline P Gee, LMSW
• Michael Raymond Gee, LAT
• Mareena Susan Geevarghese, PA-C
• Crystal Geiser, LMSW

• Surgery Physician in Troy, MI
• Providers in Troy, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.