Afsheen Aghdasizad
Individual provider Active NPI Contractor · Las Vegas, NV
NPI 1598047714 · NPPES record last updated Sep 13, 2011
Key facts
- NPI
- 1598047714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 6121 Peach Orchard Rd
Las Vegas, NV 89142-0949 - Phone
- (702) 487-5489
- NPI assigned
- Sep 13, 2011
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
6121 Peach Orchard Rd
Las Vegas, NV 89142-0949
Mailing address
6121 Peach Orchard Rd
Las Vegas, NV 89142-0949
Phone (702) 487-5489
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.