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

Edward Gazaryan

Individual provider Certified Registered Nurse Anesthetist · NPI 1073265856

Edward Gazaryan is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2021, 5 years ago. Practices with Michigan Interventional Pain Associates PLLC, a 15-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704321785 (MI)

Record details

NPI number1073265856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2022
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Michigan Interventional Pain Associates Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Detroit