Provider Demographics
NPI:1043310808
Name:ALINEJAD, NIMA ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:NIMA
Middle Name:ALLEN
Last Name:ALINEJAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 HANOVARIAN WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4403
Mailing Address - Country:US
Mailing Address - Phone:240-304-9309
Mailing Address - Fax:
Practice Address - Street 1:2680 HANOVARIAN WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-4403
Practice Address - Country:US
Practice Address - Phone:240-304-9309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA34225512207Q00000X
IDM-163392084P0800X
CAA964512084P0800X
NV182342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD123456789OtherOTHER