Homayoun Modarresifar, MD

Individual provider Nuclear Medicine Physician · NPI 1235146648

Homayoun Modarresifar, MD is a Nuclear Medicine Physician in Johnson City, Tennessee. Licensed in Arizona, California, Tennessee and Texas. Registered with an NPI since 2006.

Licensed in: AZ, CA, TN, TX
In the registry since: 2006
Specialties on file: 4

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

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

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Imaging & Therapy Physician (primary)	Taxonomy 207UN0902X · Licence MD0000046850 (TN)
Nuclear Medicine Physician	Taxonomy 207U00000X · Licence 41198 (AZ)
Nuclear Imaging & Therapy Physician	Taxonomy 207UN0902X · Licence A93513 (CA)
Nuclear Imaging & Therapy Physician	Taxonomy 207UN0902X · Licence N5255 (TX)

Record details

NPI number	1235146648
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	August 1, 2006
Last updated in NPPES	May 13, 2011