Laftavi, Mark R
Laftavi, Mark R is an individual health care provider with primary practice located at 901 N. Rancho Ln. Ste. 250 , Las Vegas NV 89106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Laftavi, Mark R can be contacted via phone (702) 383-2224.Contact Information
Primary practice address
901 N. Rancho Ln. Ste. 250
Las Vegas NV 89106
Phone: (702) 383-2224
Fax: (702) 383-3035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 216816 | New York |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 21500 | Nevada |
Profile Details
| NPI number | 1093765448 |
|---|---|
| LBN Legal business name | Laftavi, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Nov 24th, 2021 - about 5 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 | 1093765448 | NPPES |
| New York | MEDICAID | 02162370 |
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