IndividualActive
Homayoun Modarresifar, MD
NPI 1235146648 · Nuclear Imaging & Therapy Physician · Johnson City, TN
Provider details
- NPI number
- 1235146648
- Entity type
- Individual
- Primary specialty
- Nuclear Imaging & Therapy PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 41198 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2109 W Market St Ste 122
Etsu, Innovation Laboratory
Johnson City, TN 37604-6024
Phone: (423) 439-8000
Approximate (ZIP-level) locationGet directions
Mailing address
2109 W Market St Ste 122
Johnson City, TN 37604-6024
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2011-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.