Mehrdad A Tafreshi, Md,ltd | |
4500 Meadows Ln Las Vegas NV 89107-2916 | |
(702) 870-7017 | |
(702) 258-9130 |
Full Name | Mehrdad A Tafreshi, Md,ltd |
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Speciality | Internal Medicine |
Location | 4500 Meadows Ln, Las Vegas, Nevada |
Authorized Official Name and Position | Mehrdad A Tafreshi (OWNER) |
Authorized Official Contact | 7028707017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mehrdad A Tafreshi, Md,ltd 4500 Meadows Ln Las Vegas NV 89107-2916 Ph: (702) 870-7017 | Mehrdad A Tafreshi, Md,ltd 4500 Meadows Ln Las Vegas NV 89107-2916 Ph: (702) 870-7017 |
NPI Number | 1194991174 |
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Provider Enumeration Date | 04/30/2008 |
Last Update Date | 05/06/2008 |
Medicare PECOS PAC ID | 5496834988 |
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Medicare Enrollment ID | O20080508000731 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194991174 | NPI | - | NPPES |
002019248 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 6718 (Nevada) | Primary |
Provider Name | Mehrdad A Tafreshi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437115292 PECOS PAC ID: 5799712675 Enrollment ID: I20050727001206 |
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