Iraj Kasimi | Las Vegas, NV • PECOS Search

Iraj Kasimi

Dentist

Dental Providers

3350 Novat St Ste 145, Las Vegas, NV 89129-8722

PECOS Enrollment

Based on the most recent information from CMS, provider Iraj Kasimi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1568803534
Provider Type
Individual
Full Name
Kasimi, Iraj
Credential
D.M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/8/2013
Last Updated
10/4/2019

Contact Information

Practice Location

3350 Novat St Ste 145, Las Vegas, NV 89129-8722

Unlisted Fax

Mailing Location

3350 Novat St Ste 145, Las Vegas, NV 89129-8722

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 64215 California
Code 122300000X	Description Dentist Dental Providers	License 6537 Oklahoma