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Organization

SHAHAB MOKHTARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHAB MOKHTARE MD (OWNER)
(702) 420-7704
Entity
Organization

Contact information

Practice address
330 S RAMPART BLVD STE 350, LAS VEGAS, NV 89145-5754
(702) 420-7704
Mailing address
9811 W CHARLESTON BLVD STE 2-441, LAS VEGAS, NV 89117-7528
(702) 420-7704

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13663
NV

Other

Enumeration date
12/03/2014
Last updated
12/03/2024
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