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Physician Compare National (NPI:1598968000)

HEALTHCARE PROVIDER: MOLOUK FARIBA RAHNEMA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1598968000
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426077710
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100804000538
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RAHNEMA
Individual professional last name
Provider First Name MOLOUK
Individual professional first name
Provider Middle Name F
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty ENDOCRINOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 653 N TOWN CTR DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 504
Group Practice or individual's line 2 address
City LAS VEGAS
Group Practice or individual's city
State NV
Group Practice or individual's state
Zip Code 891440514
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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