Individual
HOMAYOUN MODARRESIFAR
Active
Individual
HOMAYOUN MODARRESIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
41198
AZ
207UN0902X
Nuclear Imaging & Therapy Physician
A93513
CA
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
MD0000046850
TN
207UN0902X
Nuclear Imaging & Therapy Physician
N5255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD0000046850
TENNESSEE MEDICAL LICENSE
TN
Enumeration date
08/01/2006
Last updated
05/13/2011
Update your record
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