Elahe Eghdamiyan

Individual provider Active NPI Attendant Care Provider · Las Vegas, NV

NPI 1043058175 · NPPES record last updated Jul 15, 2024

Key facts

NPI
1043058175
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
3311 S Rainbow Blvd Ste 131
Las Vegas, NV 89146-6208
Phone
(702) 249-3291
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

3311 S Rainbow Blvd Ste 131
Las Vegas, NV 89146-6208

Mailing address

3311 S Rainbow Blvd Ste 131
Las Vegas, NV 89146-6208
Phone (702) 213-9042

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Attendant Care Provider in Nevada

Sources for this page

Verify at the official NPI Registry.