Individual
DR. STEVE KHODADAD MASHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6190 MAE ANNE AVE STE 1, RENO, NV 89523
(775) 260-7000
Mailing address
6190 MAE ANNE AVE STE 1, RENO, NV 89523-4709
(775) 260-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10761
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
10761
NV
207RP1001X
Pulmonary Disease Physician
Primary
10761
NV
207RS0012X
Sleep Medicine (Internal Medicine) Physician
10761
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503309
—
NV
Enumeration date
12/23/2005
Last updated
12/26/2024
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