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

Mohsen Bannazadeh

Individual provider Surgery Physician · NPI 1134354988

Mohsen Bannazadeh is a Vascular Surgery in Royal Oak, Michigan. Qualified in 2002, 24 years ago. Practices with North Shore-Lij Medical Group at Huntington PC, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2009
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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301094234 (MI)

Record details

NPI number1134354988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2009
Last updated in NPPESMay 22, 2009

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice North Shore-Lij Medical Group At Huntington Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Royal Oak