| Homayon Iraninezhad Do Pc | |
|
201 N Buffalo Dr Las Vegas NV 89145-0373 | |
| (702) 623-3454 | |
| (702) 666-0374 |
| Full Name | Homayon Iraninezhad Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 N Buffalo Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Xeneteia Aquino (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7028189397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homayon Iraninezhad Do Pc Po Box 371086 Las Vegas NV 89137-1086 Ph: (702) 623-6454 | Homayon Iraninezhad Do Pc 201 N Buffalo Dr Las Vegas NV 89145-0373 Ph: (702) 623-3454 |
| NPI Number | 1649729161 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 11/02/2016 |
| Medicare PECOS PAC ID | 6406135573 |
|---|---|
| Medicare Enrollment ID | O20161111001631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649729161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | DO1453 (Nevada) | Primary |
| Provider Name | Homayon Iraninezhad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740448414 PECOS PAC ID: 2466603212 Enrollment ID: I20121105000116 |
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