HOMAYOUN MODARRESIFAR, MD JOHNSON CITY, TN

Contact Information

HOMAYOUN MODARRESIFAR, MD

2109 W MARKET ST STE 122
ETSU, INNOVATION LABORATORY
JOHNSON CITY, TN 37604-6024

Phone: 423-439-8000
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nuclear Imaging & Therapy	207UN0902X	36	Physician/Nuclear Medicine
Nuclear Medicine	207U00000X	36	Physician/Nuclear Medicine

Indicates primary specialty

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NPI Profile & details for HOMAYOUN MODARRESIFAR · (Male)

NPI Number	`1235146648`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	08/01/2006
Last updated	05/13/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	AZ License # 41198 CA License # A93513 TN License # MD0000046850 TX License # N5255 TN Other MD0000046850 TENNESSEE MEDICAL LICENSE
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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HOMAYOUN MODARRESIFAR, MD – NPI #1235146648Nuclear Imaging & Therapy

Contact Information

Specialty

Nuclear Imaging & Therapy

Nuclear Medicine

NPI Profile & details for HOMAYOUN MODARRESIFAR · (Male)

Reviews for HOMAYOUN MODARRESIFAR

HOMAYOUN MODARRESIFAR, MD – NPI #1235146648
Nuclear Imaging & Therapy