MEDICARE: FERDOWSIAN GLOBAL 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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1629219514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FERDOWSIAN GLOBAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	3551 E BONANZA ROAD
Second Line	:	SUITE 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89110
Country	:	US
Telephone Number	:	702-589-5135
Fax Number	:	702-589-5138

Provider Business Practice Location Address
First Line	:	3551 E BONANZA RD
Second Line	:	SUITE 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-2198
Country	:	US
Telephone Number	:	702-589-5135
Fax Number	:

Authorized Official
Title or Position	:	D.O.
Name	:	MEHRDAD MARK FERDOWSIAN
Credential	:
Telephone Number	:	702-851-0911

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	01/18/2018

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