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NPI Code Detail

MEDICARE: FARABI CENTER PLLC

MEDICARE: FARABI CENTER 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
2261Q00000XClinic/Center
3207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1891421962
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARABI CENTER PLLC
Provider Business Mailing Address
First Line : 701 SHADOW LN STE 320
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4133
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 SHADOW LN STE 320
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4133
Country : US
Telephone Number : 702-462-8282
Fax Number : 702-903-4443
Authorized Official
Title or Position : OWNER
Name : ALRIEZA FARABI
Credential :
Telephone Number : 702-462-8282
Provider Enumeration Date : 07/29/2022
Last Update Date : 03/08/2023

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Directions to “FARABI CENTER PLLC ” Practice Location

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