Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOMAYOUN MODARRESIFAR, MD
ActiveHOMAYOUN MODARRESIFAR, MD is a Nuclear Imaging & Therapy healthcare provider located in JOHNSON CITY, Tennessee. NPI 1235146648 is currently active in the NPPES registry. Verify at CMS.
Nuclear Imaging & Therapy · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1235146648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (20.051370247553 yrs)
- Last Updated
- May 13, 2011
- Licenses
-
41198 (AZ)A93513 (CA)N5255 (TX)MD0000046850 (TN)
Practice Information
- Address
-
2109 W MARKET ST STE 122ETSU, INNOVATION LABORATORYJOHNSON CITY, TN, 376046024Browse TN providers · Browse ZIP 37604
- Phone
- 4234398000
- Primary Specialty
-
Nuclear Imaging & Therapy
207UN0902X
- Additional Specialty
- Nuclear Imaging & Therapy
- Additional Specialty
- Nuclear Imaging & Therapy
- Additional Specialty
- Nuclear Imaging & Therapy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.