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NPI Code Detail

MEDICARE: DR. MALIHE RIVAZ M.D.

MEDICARE:  DR. MALIHE  RIVAZ  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
12084N0400XNeurology Physician17251NV

General Provider Information

NPI Number : 1285995431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MALIHE RIVAZ M.D.
Provider Business Mailing Address
First Line : 2010 GOLDRING AVE STE 306
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4023
Country : US
Telephone Number : 702-432-2233
Fax Number : 702-800-5456
Provider Business Practice Location Address
First Line : 2010 WELLNESS WAY STE 306
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4142
Country : US
Telephone Number : 702-432-2233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2012
Last Update Date : 11/29/2021

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Directions to “ DR. MALIHE RIVAZ M.D.” Practice Location

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