Provider Demographics
NPI:1265530570
Name:FERDOWSIAN, MEHRDAD MARK (DO)
Entity type:Individual
Prefix:
First Name:MEHRDAD
Middle Name:MARK
Last Name:FERDOWSIAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6525 N BUFFALO DR STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4041
Mailing Address - Country:US
Mailing Address - Phone:702-509-3041
Mailing Address - Fax:702-784-0065
Practice Address - Street 1:3175 SAINT ROSE PKWY STE 121
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3507
Practice Address - Country:US
Practice Address - Phone:702-802-5100
Practice Address - Fax:702-202-1066
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2025-06-02
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Provider Licenses
StateLicense IDTaxonomies
NV1019207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine