Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

NPI 1235451519

Individual provider · NPI 1235451519 Deactivated

This NPI was deactivated on September 3, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1235451519 is listed in the national NPI registry.

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

Specialties & licences

Record details

NPI number1235451519
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—