Individual
DR. BERNARD FARZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9499 W CHARLESTON BLVD, SUITE 150, LAS VEGAS, NV 89117-7150
(702) 228-5477
(702) 255-7981
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13691
NV
207Q00000X
Family Medicine Physician
6861
AK
207Q00000X
Family Medicine Physician
D0055075
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080146251
RR/MEDICARE
MD
01
—
102355
AETNA
MD
01
—
162616
MEDICARE GROUP ID
AK
05
—
2099063 00
—
MD
01
—
5704
CAREFIRST DC
DC
01
—
889382
MAMSI
MD
01
—
DS6541
RAILROAD MEDICARE GROUP #
AK
05
—
MD9996
—
AK
01
—
MDG046
MEDICAID GROUP #
AK
01
—
OF31 BR
CAREFIRST MD
MD
01
—
P01051151
RAILROAD MEDICARE PIN
AK
Enumeration date
10/13/2005
Last updated
10/12/2015
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