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NPI Code Detail

MEDICARE: ALIREZA FARABI MD PC

MEDICARE: ALIREZA FARABI MD PC
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
1207RI0200XInfectious Disease Physician13143NV
2207RI0200XInfectious Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
213143OTHERNVNEVADA LICENSE

General Provider Information

NPI Number : 1528339413
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIREZA FARABI MD PC
Provider Business Mailing Address
First Line : 2285 SPRUCE GOOSE ST APT A304
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-2631
Country : US
Telephone Number : 702-462-8282
Fax Number : 702-903-4443
Provider Business Practice Location Address
First Line : 701 SHADOW LN STE 320
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4133
Country : US
Telephone Number : 702-462-8282
Fax Number : 702-903-4443
Authorized Official
Title or Position : OWNER
Name : DR. ALIREZA FARABI
Credential : MD
Telephone Number : 925-451-6870
Provider Enumeration Date : 01/24/2012
Last Update Date : 04/25/2023

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Directions to “ALIREZA FARABI MD PC ” Practice Location

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