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NPI Code Detail

MEDICARE: MOJTABAVI MEDICAL SERVICES PLLC

MEDICARE: MOJTABAVI MEDICAL SERVICES PLLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1356283303
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOJTABAVI MEDICAL SERVICES PLLC
Provider Business Mailing Address
First Line : PO BOX 34707
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-4707
Country : US
Telephone Number : 702-445-7770
Fax Number : 702-445-7772
Provider Business Practice Location Address
First Line : 3150 N TENAYA WAY STE 240
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0459
Country : US
Telephone Number : 702-445-7770
Fax Number : 702-445-7772
Authorized Official
Title or Position : OWNER
Name : REZA MOJTABAVI
Credential : MD
Telephone Number : 702-445-7770
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “MOJTABAVI MEDICAL SERVICES PLLC ” Practice Location

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