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Contact Information

MARIAM ALIM MARVASTI, MD
2601 N TENAYA WAY
LAS VEGAS, NV89128-0427
 Phone: 702-436-0835
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MARIAM ALIM MARVASTI · (Female)

NPI Number 1811049158
Status Active
Credentials MD
Entity Individual
Enumeration date 01/17/2007
Last updated 02/13/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 9126
  • NV Medicaid 100508286
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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