| Babak Hooshmand Md Pllc | |
|
4472 S Eastern Ave Las Vegas NV 89119-7825 | |
| (702) 844-6333 | |
| Not Available |
| Full Name | Babak Hooshmand Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4472 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Babak Hooshmand (OWNER) |
| Authorized Official Contact | 7028446333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Babak Hooshmand Md Pllc Po Box 530815 Henderson NV 89053-0815 Ph: (702) 487-7055 | Babak Hooshmand Md Pllc 4472 S Eastern Ave Las Vegas NV 89119-7825 Ph: (702) 844-6333 |
| NPI Number | 1588120240 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 9830439330 |
|---|---|
| Medicare Enrollment ID | O20190320000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588120240 | NPI | - | NPPES |
| 1023380086 | Other | NV | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Babak Hooshmand |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023380086 PECOS PAC ID: 3476787458 Enrollment ID: I20131007000000 |
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