Individual provider · Type 1 NPI
Homayoun Modarresifar, MD
Nuclear Imaging & Therapy Physician · Johnson City, TN
NPI number
1235146648
Active
Practice location
2109 W Market St Ste 122, Etsu, Innovation Laboratory
Johnson City, TN 37604-6024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 41198 (AZ) |
| Nuclear Imaging & Therapy Physician | 207UN0902X | A93513 (CA) |
| Nuclear Imaging & Therapy Physician | 207UN0902X | N5255 (TX) |
| Nuclear Imaging & Therapy Physician Primary | 207UN0902X | MD0000046850 (TN) |
Nuclear Imaging & Therapy Physician: A nuclear medicine physician who specializes in nuclear imaging and therapy.
About NPI 1235146648
Homayoun Modarresifar, MD's National Provider Identifier is 1235146648, issued on Aug 1, 2006. The primary taxonomy on file is Nuclear Imaging & Therapy Physician (207UN0902X), and the practice location is in Johnson City, TN. The record was last updated on May 13, 2011.