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General NPI Number Information
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NPI Number | 1134170384
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Entity Type | Individual
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Provider Name | NAHID D ELYAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 30055 NORTHWESTERN HWY SUIT #170
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3230
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Country | US
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Telephone | 248-539-0729
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Fax | 248-539-0740
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Provider Business Mailing Address
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Address Line | PO BOX 250213
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City | W BLOOMFIELD
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State | MI
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Zip | 48325-0213
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Country | US
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Telephone | 248-539-0729
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Fax | 248-539-0740
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | NE066443
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License Number State | MI
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