AVAZEH AMIRSADRI – Family Nurse Practitioner, NPI 1780174631

Family Nurse Practitioner

AVAZEH AMIRSADRI is a healthcare provider. based in Farmington hills, Michigan. specializing in Family Nurse Practitioner. They hold a License No. 4704297524 (MI). The NPI Number for AVAZEH AMIRSADRI is 1780174631

Main info

Female

8 Years Of Experience

Accepts Medicare Assignment

Name

AVAZEH AMIRSADRI

NPI

1780174631

Phone

(248) 910-2958

Address

38365 WINDSOR

Enumeration Date

16 May 2018

Last Update Date

16 May 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3139663300

Graduation Year

2018 (8 years ago)

PAC ID

2365796927

Group Practice PAC ID

5092075598

Professional Enrollment ID

I20181116002093

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for AVAZEH AMIRSADRI

38365, Windsor, Farmington Hills, Oakland County, Michigan, 48331, United States
FARMINGTON HILLS, MI 483312851
Phone: (248) 910-2958
Type: Mailing
DMC Sinai-Grace Hospital, 6071, West Outer Drive, Northwest Detroit, Detroit, Wayne County, Michigan, 48235, United States
DETROIT, MI 482352624
Phone: (313) 993-2966
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48331)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5092075598View full group profile

Name	Specialty	State
WALEED OBAID (M.D)	Hospitalist, Internal Medicine	MI
ANITA MARY SHAMOUN (P.A-C)	Physician Assistant	MI
KRISTINA DIMITRIEVSKI	Physician Assistant	MI
HEATHER ALVANITA KELLEY (MSN, APRN, ACNPC-AG)	Nurse Practitioner	OH
CARMELITE DALMACY (N.P.)	-	MI
MS. BALSAM AL BALAGHI (P.A.)	-	MI
MOHAMMAD EKRAM RAHMAN (MD)	Internal Medicine	MI
DR. MAHMOUD CHAKER (MD)	Internal Medicine	MI
HASSAN AFZAL CHEEMA (MD)	Internal Medicine	MI
SAMAA LUTFI (DO)	Internal Medicine	MI