MEDICARE: DR. BABAK NAVIDI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4289	NV

General Provider Information

NPI Number	:	1245458819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BABAK NAVIDI

Provider Business Mailing Address
First Line	:	3663 E SUNSET RD STE 301
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3246
Country	:	US
Telephone Number	:	702-450-5999
Fax Number	:	702-450-9501

Provider Business Practice Location Address
First Line	:	3663 E SUNSET RD STE 301
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3246
Country	:	US
Telephone Number	:	702-450-5999
Fax Number	:	702-450-9501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. BABAK NAVIDI ” Practice Location

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