Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 5588 | NV |
NPI | 1336181783 |
---|---|
Provider Name | Firooz Mashhood |
First Address | Las Vegas, NV 89133-4926 |
Second Address | Las Vegas, NV 89146-0363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 12/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002002179 | (05) | NV |
A28178 | (02) | NV |