Homayoun Modarresifar in Johnson City - Nuclear Imaging & Therapy
Homayoun Modarresifar - NPI 1235146648
Homayoun Modarresifar is a Nuclear Imaging & Therapy in Johnson City, Tennessee. Homayoun Modarresifar practices all healthcare services and medical treatments related to Nuclear Imaging & Therapy. 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 |
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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 |
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Provider Enumeration Date | 2006-08-01 |
Last Updated Date | 2011-05-13 |
Provider Mailing Address Detail
Address | 2109 W Market St Ste 122 |
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City | Johnson City |
State | Tennessee (TN) |
Post Code | 376046024 |
Phone Number | 4234398000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nuclear Imaging & Therapy |
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Taxonomy | 207Un0902X |
Licence No | A93513 |
Definition: A nuclear medicine physician who specializes in nuclear imaging and therapy. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
MD0000046850 | TN | TENNESSEE MEDICAL LICENSE |
Post Comment/ Review Below
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 Imaging & Therapy, and the corresponding taxonomy code is 207Un0902X.
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.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY