Provider Demographics
NPI:1891421962
Name:FARABI CENTER PLLC
Entity Type:Organization
Organization Name:FARABI CENTER PLLC
Other - Org Name:HPV CENTER OF LAS VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALRIEZA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-462-8282
Mailing Address - Street 1:701 SHADOW LN STE 320
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4133
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 SHADOW LN STE 320
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4133
Practice Address - Country:US
Practice Address - Phone:702-462-8282
Practice Address - Fax:702-903-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-29
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty