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SHAHAB MOKHTARE INC NPI 1639576820


NPI Information

NPI: 1639576820
Provider Name: SHAHAB MOKHTARE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
851 S RAMPART BLVD
220
LAS VEGAS, NV
ZIP 89145
Phone: (702) 420-7704
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SHAHAB MOKHTARE INC is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHAHAB MOKHTARE INC NPI is 1639576820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

851 S RAMPART BLVD
220
LAS VEGAS, NV
ZIP 89145-882
Phone: (702) 420-7704

The provider's authorized official is Shahab Mokhtare .
The authorized official title is Owner and has the following contact phone number (702) 420-7704.

The enumeration date for this NPI number is 12/3/2014 and was last updated on 11/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine13663NEVADAYes

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

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