Healthcare Provider Details

I. General information

NPI: 1558418988
Provider Name (Legal Business Name): HOSSEIN ZARRINI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4180 S RAINBOW BLVD STE 810
LAS VEGAS NV
89103-3135
US

IV. Provider business mailing address

4180 S RAINBOW BLVD STE 810
LAS VEGAS NV
89103-3135
US

V. Phone/Fax

Practice location:
  • Phone: 702-383-3645
  • Fax:
Mailing address:
  • Phone: 702-383-3645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number242327
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number242327
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number242327
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25881
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: