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HOMAYOUN MODARRESIFAR MD
NPI 1235146648
Nuclear Medicine - Nuclear Imaging & Therapy in Johnson City, TN

Active since August 01, 2006
2109 W MARKET ST STE 122, ETSU, INNOVATION LABORATORY, JOHNSON CITY, TN 37604(423) 439-8000 Get Directions Write a Review

NPPES record last updated: May 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Homayoun Modarresifar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMAYOUN MODARRESIFAR MD (NPI 1235146648) is an individual nuclear imaging & therapy provider in Johnson City, Tennessee, licensed in Tennessee (MD0000046850) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1235146648
Entity TypeIndividualMale
Primary Taxonomy207UN0902X
Provider Legal NameHOMAYOUN MODARRESIFARCredential: MD
Location Address2109 W MARKET ST STE 122, ETSU, INNOVATION LABORATORYJohnson City, TN 37604-6024
Mailing Address2109 W Market St Ste 122, Etsu, Innovation LaboratoryJohnson City, TN 37604-6024 · (423) 439-8000
Phone(423) 439-8000
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateMay 13, 2011
✔ NPI 1235146648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNuclear Medicine · Nuclear Imaging & TherapyAllopathic & Osteopathic Physicians
Taxonomy Code207UN0902X
Licenses✔ Licensed in TN · MD0000046850✔ Licensed in CA · A93513✔ Licensed in TX · N5255
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
Also ListedNuclear MedicineTaxonomy 207U00000X · License 41198 (AZ)
2109 W MARKET ST STE 122, Johnson City, TN 37604
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Other Identifiers 2

OtherMD0000046850TN · Tennessee Medical License
Medicare PINZ126506AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Homayoun Modarresifar's NPI number?

The NPI number for Homayoun Modarresifar is 1235146648. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Homayoun Modarresifar located?

Homayoun Modarresifar practices at 2109 W Market St Ste 122 Etsu, Innovation Laboratory, Johnson City, TN 37604. The listed phone number is (423) 439-8000.

What is Homayoun Modarresifar's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Imaging & Therapy, with taxonomy code 207UN0902X.

When was this NPI record last updated?

The NPPES record for Homayoun Modarresifar was last updated on May 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.