Healthcare Provider Details

I. General information

NPI: 1366339855
Provider Name (Legal Business Name): AREZOO ESNAASHARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 S RAINBOW BLVD
LAS VEGAS NV
89118
US

IV. Provider business mailing address

1264 CRAWFORD CREEK DR
RENO NV
89521-8528
US

V. Phone/Fax

Practice location:
  • Phone: 702-853-3567
  • Fax:
Mailing address:
  • Phone: 775-813-7646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberLL4439
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: