MEDICARE: ARDESHIR ROHANI MD

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	207R00000X	Internal Medicine Physician	9011	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104876416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARDESHIR ROHANI MD

Provider Business Mailing Address
First Line	:	7633 BELMONDO LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7814
Country	:	US
Telephone Number	:	702-463-3000
Fax Number	:	702-463-3001

Provider Business Practice Location Address
First Line	:	3824 S JONES BLVD STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2451
Country	:	US
Telephone Number	:	702-463-3000
Fax Number	:	702-463-3001

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	12/09/2019

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Directions to “ ARDESHIR ROHANI MD” Practice Location

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