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AREZO MARIA FATHIE M D INC NPI 1720269517


NPI Information

NPI: 1720269517
Provider Name: AREZO MARIA FATHIE M D INC

Doing Business As: GENERATIONS MEDICAL CENTER

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 29D0986098

Address:
5135 S. DURANGO DR.
#102
LAS VEGAS, NV
ZIP 89113
Phone: (702) 407-9994
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AREZO MARIA FATHIE M D INC is a specialist in Las Vegas, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AREZO MARIA FATHIE M D INC NPI is 1720269517. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Generations Medical Center.

The provider's business location address is:

5135 S. DURANGO DR.
#102
LAS VEGAS, NV
ZIP 89113
Phone: (702) 407-9994
Fax: (702) 407-9998

The provider's authorized official is Arezo M Fathie .
The authorized official title is Owner and has the following contact phone number (702) 407-9994.

The CLIA number assigned to this NPI record is 29D0986098 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 12/2/2011.


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
1174400000XSpecialist8750NEVADAYes

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
12019177MEDICAIDNEVADA
2G97284MEDICARE UPINNEVADA
3V34815MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.