Basic Information
| Provider Information | |||||||||
| NPI: | 1962536540 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NIUFAR | ||||||||
| FirstName: | NOAH | ||||||||
| MiddleName: | NADER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4053 LONE TREE WAY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | ANTIOCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945316210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9257563400 | ||||||||
| FaxNumber: | 9257546387 | ||||||||
| Practice Location | |||||||||
| Address1: | UNR FAMILY MEDICINE CTR | ||||||||
| Address2: | MAIL STOP 316 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895570001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7757846180 | ||||||||
| FaxNumber: | 7757844473 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2007 | ||||||||
| LastUpdateDate: | 12/29/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A108188 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.