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NPI Code Detail

MEDICARE: NADER BEHESHTI M.D.

MEDICARE: NADER BEHESHTI M.D.
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
12085R0202XDiagnostic Radiology Physician9410NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NV4315OTHERNVBCBS
2153105OTHERNVWC
3152969OTHERNVWC
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5NV9656OTHERNVBCBS

General Provider Information

NPI Number : 1013968601
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADER BEHESHTI M.D.
Provider Business Mailing Address
First Line : PO BOX 30077
Second Line : DEPT 305
City : SALT LAKE CITY
State : UT
Zip : 84130-0077
Country : US
Telephone Number : 877-243-8416
Fax Number :
Provider Business Practice Location Address
First Line : 5495 S RAINBOW BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1872
Country : US
Telephone Number : 702-477-0772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 10/20/2017

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Directions to “ NADER BEHESHTI M.D.” Practice Location

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