MEDICARE: IRFAN A BHUIYAN

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
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1043160914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRFAN A BHUIYAN

Provider Business Mailing Address
First Line	:	3123 TOWN PL
Second Line	:
City	:	MIDDLETOWN
State	:	CT
Zip	:	06457-1754
Country	:	US
Telephone Number	:	855-864-4322
Fax Number	:

Provider Business Practice Location Address
First Line	:	9811 W CHARLESTON BLVD STE 2-641
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	855-864-4322
Fax Number	:	866-540-2867

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “ IRFAN A BHUIYAN ” Practice Location

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