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NPI Code Detail

MEDICARE: FARZIN FARHANG MD PLLC

MEDICARE: FARZIN FARHANG MD PLLC
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
1208VP0000XPain Medicine Physician11033NV

General Provider Information

NPI Number : 1467765024
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARZIN FARHANG MD PLLC
Provider Business Mailing Address
First Line : 9030 W SAHARA AVE # 249
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7251 W LAKE MEAD BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-8380
Country : US
Telephone Number : 702-629-6992
Fax Number :
Authorized Official
Title or Position : ACCOUNT MANAGER
Name : LAURA JORDAN
Credential :
Telephone Number : 702-762-2485
Provider Enumeration Date : 07/23/2010
Last Update Date : 12/18/2024

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