Homayoun Modarresifar, MD

Individual Active
NPI 1235146648
Nuclear Imaging & Therapy Physician Johnson City, TN

Homayoun Modarresifar, MD holds NPI 1235146648, with a primary taxonomy of nuclear imaging & therapy physician and a practice location in Johnson City, TN. The number was issued on August 1, 2006 and the NPPES record was last updated on May 13, 2011. The record lists 4 taxonomy codes.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Nuclear Imaging & Therapy Physician Primary 207UN0902X MD0000046850 (TN)
Nuclear Medicine Physician 207U00000X 41198 (AZ)
Nuclear Imaging & Therapy Physician 207UN0902X A93513 (CA)
Nuclear Imaging & Therapy Physician 207UN0902X N5255 (TX)

Practice location

2109 W Market St Ste 122
Etsu, Innovation Laboratory
Johnson City, TN 37604-6024
Phone: (423) 439-8000

Local context

Active NPPES records list 1 provider with nuclear imaging & therapy physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1 in Tennessee and 212 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Homayoun Modarresifar
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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