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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1225715683

Payaum Fotovat-Ahmadi, MD is a Physical Medicine and Rehabilitation in Lathrup Village, Michigan. Graduated from Oakland Univ, William Beaumont School of Medicine in 2023, 3 years ago. Practices with Michigan Rehabilitation Physicians, an 11-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
MI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

27270 Evergreen Rd
Lathrup Village, MI 48076-3249
Phone: (734) 812-0429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 4301512877 (MI)

Record details

NPI number1225715683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2023
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Michigan Rehabilitation Physicians — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lathrup Village