Alim-Marvasti, Mariam

Alim-Marvasti, Mariam is an sole proprietor health care provider with primary practice located at 2601 N Tenaya Way , Las Vegas NV 89128-0427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as her primary health care specialty. Alim-Marvasti, Mariam can be contacted via phone (702) 436-0835.

Contact Information

Primary practice address
2601 N Tenaya Way Las Vegas NV 89128-0427
Phone: (702) 436-0835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 9126 Nevada

Profile Details

NPI number 1811049158
LBN Legal business name Alim-Marvasti, Mariam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Feb 13th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811049158 NPPES
Nevada MEDICAID 100508286

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