Afshin Y Doust Md A Professional Corporation | |
3100 N Tenaya Way Las Vegas NV 89128-0436 | |
(702) 453-3799 | |
(702) 453-5741 |
Full Name | Afshin Y Doust Md A Professional Corporation |
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Speciality | Internal Medicine |
Location | 3100 N Tenaya Way, Las Vegas, Nevada |
Authorized Official Name and Position | Afshin Y Doust (OWNER) |
Authorized Official Contact | 7022045596 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Afshin Y Doust Md A Professional Corporation Po Box 370969 Las Vegas NV 89137-0969 Ph: (702) 453-3799 | Afshin Y Doust Md A Professional Corporation 3100 N Tenaya Way Las Vegas NV 89128-0436 Ph: (702) 453-3799 |
NPI Number | 1730366659 |
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Provider Enumeration Date | 01/22/2008 |
Last Update Date | 07/30/2021 |
Medicare PECOS PAC ID | 3971687716 |
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Medicare Enrollment ID | O20080303000642 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730366659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11054 (Nevada) | Primary |
Provider Name | Afshin Y Doust |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417057316 PECOS PAC ID: 6901866532 Enrollment ID: I20041018000502 |
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