Whalio Doctors

NPI 1235146648

Homayoun Modarresifar, MD

Practitioner Nuclear Imaging & Therapy Physician Johnson City, TN

Practice location

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

Registered specialties (4)

Nuclear Imaging & Therapy Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207UN0902X Licence MD0000046850 (TN)
Nuclear Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 41198 (AZ)
Nuclear Imaging & Therapy Physician
Allopathic & Osteopathic Physicians Taxonomy 207UN0902X Licence A93513 (CA)
Nuclear Imaging & Therapy Physician
Allopathic & Osteopathic Physicians Taxonomy 207UN0902X Licence N5255 (TX)

Registry record

NPI
1235146648
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Aug 2006
Record last updated
13 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.