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NPI Code Detail

MEDICARE: MOHAMMAD LESANPEZESHKI MD

MEDICARE: MOHAMMAD LESANPEZESHKI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35.149223OH
2390200000XStudent in an Organized Health Care Education/Training Program
32084B0040XBehavioral Neurology & Neuropsychiatry Physician036.173149IL

General Provider Information

NPI Number : 1194304709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD LESANPEZESHKI MD
Provider Business Mailing Address
First Line : 3333 BROADWAY APT C14E
Second Line :
City : NEW YORK
State : NY
Zip : 10031-8706
Country : US
Telephone Number : 718-249-5775
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-4486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2021
Last Update Date : 06/08/2026

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