Abrams, Jack Ebrahimpour
Abrams, Jack Ebrahimpour is an individual health care provider with primary practice located at 6450 Medical Center St Suite 100, Las Vegas NV 89148-2442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Abrams, Jack Ebrahimpour can be contacted via phone (702) 304-9494.Contact Information
Primary practice address
6450 Medical Center St Suite 100
Las Vegas NV 89148-2442
Phone: (702) 304-9494
Fax: (702) 304-9495
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 9777 | Nevada |
Other Service Providers / Specialist | 174400000X | 9777 | Nevada |
Profile Details
NPI number | 1780684571 |
---|---|
LBN Legal business name | Abrams, Jack Ebrahimpour |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2005 |
Last updated | May 24th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780684571 | NPPES |
Nevada | MEDICAID | 002018382 |
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