Individual
DR. POUYA MOHAJER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5741 S FORT APACHE RD STE 120, LAS VEGAS, NV 89148-5622
(702) 798-0111
(866) 333-0436
Mailing address
5130 S FORT APACHE RD, STE 215-232, LAS VEGAS, NV 89148-1719
(702) 798-0111
(844) 247-3481
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
10841
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503617
—
NV
05
—
1770556037
—
NV
01
—
V102640
MEDICARE UPIN
NV
01
—
V57425
MEDICARE UPIN
NV
Enumeration date
08/11/2005
Last updated
12/02/2021
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