Individual
ALI RAFATNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016
Mailing address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25751
NV
207Q00000X
Family Medicine Physician
A191713
CA
207Q00000X
Family Medicine Physician
E-14974
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346878717
—
NV
Enumeration date
03/31/2020
Last updated
09/19/2024
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