Provider Demographics
NPI:1215827555
Name:VALIYI, MEHRAN NICHOLAS
Entity type:Individual
Prefix:
First Name:MEHRAN
Middle Name:NICHOLAS
Last Name:VALIYI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 E MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-5871
Mailing Address - Country:US
Mailing Address - Phone:317-937-2707
Mailing Address - Fax:
Practice Address - Street 1:818 E MAIN ST APT 1
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-5871
Practice Address - Country:US
Practice Address - Phone:317-937-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28263279A163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult