Provider Demographics
NPI:1811245400
Name:MOLOK RAHNEMA MD VALLEY ENDOCRINOLOGY PLLC
Entity type:Organization
Organization Name:MOLOK RAHNEMA MD VALLEY ENDOCRINOLOGY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOLOUK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHNEMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-701-8400
Mailing Address - Street 1:P.O. BOX 34468
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-4468
Mailing Address - Country:US
Mailing Address - Phone:702-701-8400
Mailing Address - Fax:702-701-8401
Practice Address - Street 1:653 N. TOWN CENTER DR
Practice Address - Street 2:SUITE 504
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0514
Practice Address - Country:US
Practice Address - Phone:702-701-8400
Practice Address - Fax:702-701-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13479207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty