HOMAYOUN MODARRESIFAR MD – NPI #1235146648
Nuclear Medicine

A nuclear medicine physician who specializes in nuclear imaging and therapy.

HOMAYOUN MODARRESIFAR is a physician located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1235146648 to HOMAYOUN MODARRESIFAR on August 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207UN0902X from the Health Care Provider Taxonomy code set, which is classified as Nuclear Medicine, specializing in Nuclear Imaging & Therapy

The NPI profile was previously updated about 15 years ago on May 13, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOMAYOUN MODARRESIFAR below.

NPI Profile for
HOMAYOUN MODARRESIFAR

NPI Number
1235146648
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
HOMAYOUN MODARRESIFAR
Credentials
MD
Primary location
2109 W MARKET ST STE 122
ETSU, INNOVATION LABORATORY
JOHNSON CITY, TN 37604-6024
Phone: (423) 439-8000 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for HOMAYOUN MODARRESIFAR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERTENNESSEE MEDICAL LICENSETNMD0000046850
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207UN0902X
- Nuclear Medicine / Nuclear Imaging & Therapy (Primary)
TN MD0000046850
207U00000X
- Nuclear Medicine
AZ 41198

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.