Lt Proactive Care Clinic Nevada - Farbakhsh Pllc

NPI #1982061750 in Henderson, Nevada

Provider Information

NPI Number: 1982061750
Entity Type: Organization
Organization Name: Lt Proactive Care Clinic Nevada - Farbakhsh Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jan 25, 2016
Last Updated: Feb 15, 2016

Practice Location

Address: 121 CARNEGIE ST
City: Henderson
State: Nevada
ZIP Code: 89074-7118
Phone: (702) 802-7357

Authorized Official

Name: DR. KAMBIZ FARBAKHSH, M.D.
Title: OWNER/MEDICAL DIRECTOR
Phone: (612) 554-5257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Family Medicine	207Q00000X
Pediatrics	208000000X
Radiology - Body Imaging — Body Imaging	2085B0100X
Internal Medicine	207R00000X	Primary

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