HABAKKUK MEDICAL CLINIC LLC NPI 1912668617

NPI Information

NPI: 1912668617
Provider Name: HABAKKUK MEDICAL CLINIC LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8275 S EASTERN AVE SUITE 200
LAS VEGAS, NV
ZIP 89123
Phone: (702) 403-4770
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HABAKKUK MEDICAL CLINIC LLC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HABAKKUK MEDICAL CLINIC LLC NPI is 1912668617. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8275 S EASTERN AVE SUITE 200
LAS VEGAS, NV
ZIP 89123-545
Phone: (702) 403-4770

The provider's authorized official is Relindis Taku .
The authorized official title is Authorized Official and has the following contact phone number (702) 403-4770.

The enumeration date for this NPI number is 1/4/2022 and was last updated on 2/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM1300X	Clinic/Center	Multi-Specialty	No
5	261QM2500X	Clinic/Center	Medical Specialty	No
6	261QP2300X	Clinic/Center	Primary Care	No
7	208D00000X	General Practice		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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