Individual
MR. MAHMOUD R MOGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-2000
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 765-7920
(702) 383-2999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
823272
NV
364SF0001X
Family Health Clinical Nurse Specialist
823272
NV
Other
Enumeration date
05/14/2020
Last updated
01/12/2026
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