Provider Demographics
NPI:1841283116
Name:OVEYS, NASRIN (DPM)
Entity type:Individual
Prefix:DR
First Name:NASRIN
Middle Name:
Last Name:OVEYS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36745 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2492
Mailing Address - Country:US
Mailing Address - Phone:248-524-9994
Mailing Address - Fax:248-524-9995
Practice Address - Street 1:36745 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2492
Practice Address - Country:US
Practice Address - Phone:248-524-9994
Practice Address - Fax:248-524-9995
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2010-03-10
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-04
Provider Licenses
StateLicense IDTaxonomies
MI5901001696213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3142350Medicaid
MIU56906Medicare UPIN
MI3142350Medicaid