Provider Demographics
NPI:1023389921
Name:NAZEMI, MALEK (MD)
Entity Type:Individual
Prefix:DR
First Name:MALEK
Middle Name:
Last Name:NAZEMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8757 CARLITAS JOY CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3540
Mailing Address - Country:US
Mailing Address - Phone:702-250-8076
Mailing Address - Fax:
Practice Address - Street 1:8757 CARLITAS JOY CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3540
Practice Address - Country:US
Practice Address - Phone:702-250-8076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10172174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist