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ADVANCED ADOLESCENT PEDIATRIC GASTROENTEROLOGY NPI 1649464975


NPI Information

NPI: 1649464975
Provider Name: ADVANCED ADOLESCENT PEDIATRIC GASTROENTEROLOGY
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
8630 W CHEYENNE AVE
LAS VEGAS, NV
ZIP 89129
Phone: (702) 851-9383
Get Directions

ADVANCED ADOLESCENT PEDIATRIC GASTROENTEROLOGY is a pediatric gastroenterology pediatrics in Las Vegas, NV. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. ADVANCED ADOLESCENT PEDIATRIC GASTROENTEROLOGY NPI is 1649464975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8630 W CHEYENNE AVE
LAS VEGAS, NV
ZIP 89129-260
Phone: (702) 851-9383
Fax: (702) 851-9380

The provider's authorized official is Ajaz A Sheikh .
The authorized official title is President and has the following contact phone number (702) 851-9383.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 9/30/2016.


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
12080P0206XPediatricsPediatric Gastroenterology11214NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11649464975MEDICAIDNEVADA
2V105408MEDICARE PINNEVADA

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: 11/14/2023

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