MEDICARE: POUYA MOHAJER MD LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	208VP0014X	Interventional Pain Medicine Physician
2	208VP0000X	Pain Medicine Physician
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902826464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POUYA MOHAJER MD LTD

Provider Business Mailing Address
First Line	:	5130 S FORT APACHE RD STE 215
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1732
Country	:	US
Telephone Number	:	702-798-0111
Fax Number	:	866-333-0436

Provider Business Practice Location Address
First Line	:	5741 S FORT APACHE RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5622
Country	:	US
Telephone Number	:	702-798-0111
Fax Number	:	866-333-0436

Authorized Official
Title or Position	:	PRESIDENT
Name	:	POUYA MOHAJER
Credential	:	MD
Telephone Number	:	702-798-0111

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	03/03/2026

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Directions to “POUYA MOHAJER MD LTD ” Practice Location

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