Organization
POUPAK ZIAEI MD LTD
Active
Organization
POUPAK ZIAEI MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI ANN LABRECQUE (ACCTS. MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
5052 S JONES BLVD, SUITE 135, LAS VEGAS, NV 89118-0538
(702) 902-2400
(702) 902-2401
Mailing address
5052 S JONES BLVD, SUITE 135, LAS VEGAS, NV 89118-0538
(702) 902-2400
(702) 902-2401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12525
NV
Other
Enumeration date
03/19/2009
Last updated
09/25/2014
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