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NPI Code Detail

MEDICARE: FOAD MOAZEZ M.D.

MEDICARE: FOAD MOAZEZ 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
1207RC0000XCardiovascular Disease Physician5993NV

Other Identifiers

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

General Provider Information

NPI Number : 1134122203
Entity Type Code : Individual
Provider Name (Legal Business Name) : FOAD MOAZEZ M.D.
Provider Business Mailing Address
First Line : 3201 S MARYLAND PKWY STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2426
Country : US
Telephone Number : 702-796-7150
Fax Number : 702-796-9071
Provider Business Practice Location Address
First Line : 3150 N TENAYA WAY
Second Line : STE 460
City : LAS VEGAS
State : NV
Zip : 89128-0463
Country : US
Telephone Number : 702-796-7150
Fax Number : 702-796-9071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 05/15/2024

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Directions to “ FOAD MOAZEZ M.D.” Practice Location

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