Provider Demographics
NPI:1043642614
Name:VAEZI, RAMIN RAY (DC)
Entity Type:Individual
Prefix:
First Name:RAMIN
Middle Name:RAY
Last Name:VAEZI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 E SAHARA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3496
Mailing Address - Country:US
Mailing Address - Phone:702-656-3333
Mailing Address - Fax:
Practice Address - Street 1:1380 E SAHARA AVE
Practice Address - Street 2:#15
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3496
Practice Address - Country:US
Practice Address - Phone:702-732-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor