Organization
ALIREZA FARABI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA FARABI MD (OWNER)
(925) 451-6870
Entity
Organization
Contact information
Practice address
701 SHADOW LN STE 320, LAS VEGAS, NV 89106-4133
(702) 462-8282
(702) 903-4443
Mailing address
2285 SPRUCE GOOSE ST APT A304, LAS VEGAS, NV 89135-2631
(702) 462-8282
(702) 903-4443
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
13143
NV
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13143
NEVADA LICENSE
NV
05
—
1528339413
—
NV
Enumeration date
01/24/2012
Last updated
04/25/2023
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