MEDICARE: IOANA M PAHLEVAN MD

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	10563	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10563	OTHER	NV	STATE LICENSE

General Provider Information

NPI Number	:	1659341857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IOANA M PAHLEVAN MD

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	615-314-8069
Fax Number	:

Provider Business Practice Location Address
First Line	:	3830 E FLAMINGO RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6234
Country	:	US
Telephone Number	:	725-269-1044
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	01/23/2023

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Directions to “ IOANA M PAHLEVAN MD” Practice Location

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