Organization
GHOVANLOU FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARISSA GHOVANLOU M.D. (PRESIDENT)
(702) 243-2327
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY, STE 480, LAS VEGAS, NV 89128-0443
(702) 243-2327
(702) 243-2427
Mailing address
3150 N TENAYA WAY, STE 480, LAS VEGAS, NV 89128-0443
(702) 243-2327
(702) 243-2427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11921
NV
Other
Enumeration date
10/23/2006
Last updated
10/12/2007
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