Homayoun Modarresifar in Johnson City - Nuclear Medicine

Homayoun Modarresifar - NPI 1235146648

Homayoun Modarresifar is a Nuclear Medicine in Johnson City, Tennessee. Homayoun Modarresifar practices all healthcare services and medical treatments related to Nuclear Medicine. The NPI Number for Homayoun Modarresifar is 1235146648. The last update date is 2011-05-13.

Homayoun Modarresifar's current location address is 2109 W Market St Ste 122, Johnson City, Tennessee. You can contact this provider via phone number 4234398000. The mailing address for Homayoun Modarresifar is 2109 W Market St Ste 122, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Homayoun Modarresifar
Address 2109 W Market St Ste 122, Johnson City, Tennessee
Phone Number 4234398000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1235146648
Provider Enumeration Date 2006-08-01
Last Updated Date 2011-05-13

Provider Mailing Address Detail

Address 2109 W Market St Ste 122
City Johnson City
State Tennessee (TN)
Post Code 376046024
Phone Number 4234398000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nuclear Medicine
Taxonomy 207U00000X
Licence No 41198
Definition:
A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the functio

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD0000046850 TN TENNESSEE MEDICAL LICENSE

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FAQs about Homayoun Modarresifar

What is the unique 10-digit identification code issued to Homayoun Modarresifar by the Centers for Medicare & Medicaid Services?

The Homayoun Modarresifar has been assigned the NPI (National Provider Identifier) 1235146648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Homayoun Modarresifar's facilities are situated?

The facilities of Homayoun Modarresifar are physically located at the following address: 2109 W Market St Ste 122, Johnson City, TN, 376046024.

What is the Homayoun Modarresifar's specialty and taxonomy code?

The Homayoun Modarresifar's specialty is Nuclear Medicine, and the corresponding taxonomy code is 207U00000X.

On what date did the Homayoun Modarresifar receive its 1235146648 assignment from the Centers for Medicare & Medicaid Services?

The Homayoun Modarresifar was assigned its 1235146648 by the Centers for Medicare & Medicaid Services on 2006-08-01.

As of what date was the information regarding Homayoun Modarresifar, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Homayoun Modarresifar, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-05-13.

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