Individual
DR. REZA MOJTABAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3150 N TENAYA WAY, SUITE 240, LAS VEGAS, NV 89128-0443
(702) 445-7770
(702) 445-7772
Mailing address
PO BOX 34707, LAS VEGAS, NV 89133-4707
(702) 445-7770
(702) 445-7772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13155
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13155
MEDICAL LICENSES
NV
Enumeration date
03/19/2007
Last updated
10/12/2011
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