Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 11950 | NV |
NPI | 1235242470 |
---|---|
Provider Name | Mohsen Tamasaby |
First Address | Reno, NV 89519-0907 |
Second Address | Reno, NV 89502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 18/10/2018 |