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Search › Tennessee › 207UN0902X

Homayoun Modarresifar, MD

NPI 1235146648 · on the registry since 2006

Practice

Address
2109 W Market St Ste 122
Etsu, Innovation Laboratory
Johnson City, TN 37604
Phone
(423) 439-8000
Organisation at this address
Microbac Healthcare Services, Llc
Medical Education Assistance Corporation
Medical Education Assistance Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207UN0902X
207UN0902X
Also registered as
207U00000X
207UN0902X
207UN0902X
Licence states on file
AZ, CA, TX, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee