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

NPI 1750405452

Individual provider · NPI 1750405452 Deactivated

This NPI was deactivated on September 17, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1750405452 is listed in the national NPI registry.

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Record details

NPI number1750405452
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—