Search › Nevada › 374U00000X

Shahram Fazlali

NPI 1235745720 · on the registry since 2020

Practice

Address
1575 Comfort Hills St
Henderson, NV 89014
Phone
(310) 467-6710

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada