Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bijan Moazezi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366054231

Bijan Moazezi is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2020.

Licensed in
RI
In the registry since
2020

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-2695
Fax: (401) 444-4165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (RI)

Record details

NPI number1366054231
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2020
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address240 E Huron St Ste 1-200, Chicago, IL 60611-2909

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