Individual
AHOORA PAYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 LA CANADA ST STE 200, LAS VEGAS, NV 89169-2579
(702) 369-5582
(702) 650-5148
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17565
NV
207R00000X
Internal Medicine Physician
5560
HI
207R00000X
Internal Medicine Physician
C171926
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154583983
—
NV
01
—
17565
STATE LICENSE
NV
Enumeration date
07/02/2008
Last updated
12/11/2023
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