DR. MARIAM ALIM-MARVASTI (NPI# 1811049158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811049158 |
| Entity Type | Individual |
| Full Name | DR. MARIAM ALIM-MARVASTI |
| Other Name | DR. MARIAM ALIM-MARVASTI |
| Credential | MD |
| Practice Address |
2601 N Tenaya Way Las Vegas NV 89128-0427 |
| Mailing Address |
8757 Carlitas Joy Ct Las Vegas NV 89117 |
| Practice Telephone | 7024360835 |
| Mailing Telephone | 7022786444 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
9126 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100508286 | 05 |
| Street Address |
2601 N TENAYA WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659399863 | Robert A Hughes | Physical Therapist | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2006-07-17 |
| 1467018309 | Vitaliy Turbin | Nurse Practitioner | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2019-05-16 |
| 1144799073 | Vynor Quijano Ballesteros | Nurse Practitioner | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2018-11-20 |
| 1164905121 | Jonard Ylarde Gonzales | Nurse Practitioner | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2018-09-14 |
| 1841795077 | Janess C Borromeo | Nurse Practitioner | 2601 N Tenaya Way, Las Vegas, NV 89128 | 2018-03-29 |
| 1316456247 | Shahida Khan | Nurse Practitioner | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2017-09-22 |
| 1619490570 | Laura Stankovic | Nurse Practitioner | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2017-07-24 |
| 1538697503 | Tess Valley Cialdini | Social Worker | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2017-06-02 |
| 1649723354 | Christina Solinap Oliver | Nurse Practitioner | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2016-07-28 |
| 1508210105 | Mellissa Craig | Nurse Practitioner | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639349418 | University of Nevada School of Medicine Multi Specialty Group South | Psychiatry & Neurology | 880 Seven Hills Dr, Ste 200, Henderson, NV 89052-4371 | 2008-03-07 |
| 1922132125 | Latha Prabhakar Pai | Psychiatry & Neurology | 975 Kirman Ave, Va Sierra Nevada Hcs, Mental Health Services, Reno, NV 89502 | 2007-03-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.