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NPI Code Detail

MEDICARE: ALEXANDER F AKHAVAN MD LTD

MEDICARE: ALEXANDER F AKHAVAN MD LTD
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
1207R00000XInternal Medicine Physician11478NV

General Provider Information

NPI Number : 1972797462
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXANDER F AKHAVAN MD LTD
Provider Business Mailing Address
First Line : 3022 S DURANGO DR
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89117-4439
Country : US
Telephone Number : 702-256-3637
Fax Number : 702-256-3307
Provider Business Practice Location Address
First Line : 3186 S MARYLAND PKWY
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number : 702-254-5358
Fax Number : 702-256-8510
Authorized Official
Title or Position : PRESIDENT
Name : ALEXANDER F AKHAVAN
Credential : M.D.
Telephone Number : 702-894-8869
Provider Enumeration Date : 08/28/2007
Last Update Date : 01/29/2013

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