Organization
HOMAYON IRANINEZHAD DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XENETEIA AQUINO (CREDENTIALING SPECIALIST)
(702) 818-9397
Entity
Organization
Contact information
Practice address
201 N BUFFALO DR, LAS VEGAS, NV 89145-0373
(702) 623-3454
(702) 666-0374
Mailing address
PO BOX 371086, LAS VEGAS, NV 89137-1086
(702) 623-6454
(702) 666-0374
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DO1453
NV
Other
Enumeration date
09/26/2016
Last updated
11/02/2016
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