NPI 1780292334 · live from the CMS NPI Registry
Elham Bahrami
Physician Assistant, Medical in Reno, NV. National Provider Identifier 1780292334, active.
NPI record
| NPI | 1780292334 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 18600 Wedge Pkwy Ste 104, Reno, NV 89511 |
| Practice phone | 775-784-4843 |
| Mailing address | 235 W 6th St, Reno, NV 89503 |
| Enumerated | July 20, 2020 |
| Last updated | January 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Physician Assistant, Medical primary | 363AM0700X | PA2536 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.