MEDICARE: DR. MAJID HAJIZADEH BASHY 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
1	207R00000X	Internal Medicine Physician	9667	NV
2	202K00000X	Phlebology Physician	9667	NV

General Provider Information

NPI Number	:	1619012192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAJID HAJIZADEH BASHY M.D.

Provider Business Mailing Address
First Line	:	9060 W. POST RD
Second Line	:	SUITE #200
City	:	LAS VEGAS
State	:	NV
Zip	:	89148
Country	:	US
Telephone Number	:	702-838-0444
Fax Number	:	702-570-6228

Provider Business Practice Location Address
First Line	:	9060 W. POST RD
Second Line	:	SUITE #200
City	:	LAS VEGAS
State	:	NV
Zip	:	89148
Country	:	US
Telephone Number	:	702-838-0444
Fax Number	:	702-570-6228

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	10/31/2018

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