Safiya Aijazi, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lebanon, NH

NPI 1902509409 · NPPES record last updated Mar 23, 2023

Key facts

NPI
1902509409
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1 Medical Dr
Lebanon, NH 03756-1000
Phone
(603) 650-5000
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230628003474 NH Order and Referring Only - Psychiatry
Practitioner - Psychiatry
7315306024

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1 Medical Dr
Lebanon, NH 03756-1000

Mailing address

1 Medical Dr
Lebanon, NH 03756-1000

Other providers in Lebanon, NH

All providers in Lebanon, NH · Student in an Organized Health Care Education/Training Program in New Hampshire

Sources for this page

Verify at the official NPI Registry.