Individual
DR. BABAK HOOSHMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4472 S EASTERN AVE, LAS VEGAS, NV 89119-7825
(725) 705-2739
(702) 331-2035
Mailing address
PO BOX 530815, HENDERSON, NV 89053-0815
(725) 705-2739
(702) 331-2035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14717
NV
207R00000X
Internal Medicine Physician
AS3062508-60
MI
207RI0200X
Infectious Disease Physician
Primary
14717
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023380086
—
NV
Enumeration date
02/06/2012
Last updated
09/13/2024
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