Individual
DR. PEJMAN BADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5741 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5622
(702) 984-6587
(866) 496-8313
Mailing address
PO BOX 6255, PAHRUMP, NV 89041-6255
(702) 984-6587
(702) 463-2894
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
828
NV
207Q00000X
Family Medicine Physician
Primary
828
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134146111
—
NV
01
—
P00870033
RAILROAD MEDICARE
NV
Enumeration date
07/16/2006
Last updated
10/21/2019
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