| Mahgerefteh Medical Pllc | |
|
10624 S Eastern Ave Ste A-1015 Henderson NV 89052-2982 | |
| (702) 427-4894 | |
| Not Available |
| Full Name | Mahgerefteh Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10624 S Eastern Ave Ste A-1015, Henderson, Nevada |
| Authorized Official Name and Position | Babak Mahgerefteh (OWNER) |
| Authorized Official Contact | 7024274894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahgerefteh Medical Pllc 10624 S Eastern Ave Ste A-1015 Henderson NV 89052-2982 Ph: () - | Mahgerefteh Medical Pllc 10624 S Eastern Ave Ste A-1015 Henderson NV 89052-2982 Ph: (702) 427-4894 |
| NPI Number | 1811521313 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 04/26/2022 |
| Medicare PECOS PAC ID | 2365841046 |
|---|---|
| Medicare Enrollment ID | O20220615001500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811521313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Babak Mahgerefteh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124349063 PECOS PAC ID: 5799912127 Enrollment ID: I20131211000028 |
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