Individual
DR. MARIAM ALIM-MARVASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 N TENAYA WAY, LAS VEGAS, NV 89128-0427
(702) 436-0835
Mailing address
8757 CARLITAS JOY CT, LAS VEGAS, NV 89117
(702) 278-6444
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
9126
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508286
—
NV
Enumeration date
01/17/2007
Last updated
02/13/2018
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