| Alireza Farabi Md Pc | |
|
701 Shadow Ln Ste 320 Las Vegas NV 89106-4133 | |
| (702) 462-8282 | |
| (702) 903-4443 |
| Full Name | Alireza Farabi Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 Shadow Ln Ste 320, Las Vegas, Nevada |
| Authorized Official Name and Position | Alireza Farabi (OWNER) |
| Authorized Official Contact | 9254516870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alireza Farabi Md Pc 2285 Spruce Goose St Apt A304 Las Vegas NV 89135-2631 Ph: (702) 462-8282 | Alireza Farabi Md Pc 701 Shadow Ln Ste 320 Las Vegas NV 89106-4133 Ph: (702) 462-8282 |
| NPI Number | 1528339413 |
|---|---|
| Provider Enumeration Date | 01/24/2012 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 5698928612 |
|---|---|
| Medicare Enrollment ID | O20121226000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528339413 | NPI | - | NPPES |
| 1528339413 | Medicaid | NV | |
| 13143 | Other | NV | NEVADA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 13143 (Nevada) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Alireza Farabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598889008 PECOS PAC ID: 3870630569 Enrollment ID: I20091029000170 |
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