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

Individual provider Acute Care Nurse Practitioner · NPI 1467008086

Masoumeh Khosraviardakani, NP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2017, 9 years ago. Practices with University Physician Group, a 402-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4201 Saint Antoine St Ste 8D
Detroit, MI 48201-2153
Phone: (313) 745-4275
Fax: (313) 577-4641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704276401 (MI)

Record details

NPI number1467008086
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 11, 2019
Last updated in NPPESAugust 11, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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