FARRUKH IMTIAZ (NPI# 1063404663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063404663 |
| Entity Type | Individual |
| Full Name | FARRUKH IMTIAZ |
| Credential | MD |
| Practice Address |
3650 S Eastern Ave Ste 210 Las Vegas NV 89169-3345 |
| Mailing Address |
3650 S Eastern Ave Suite 210 Las Vegas NV 89169-3379 |
| Practice Telephone | 7029336768 |
| Practice Fax Number | 7029336770 |
| Mailing Telephone | 7029336768 |
| Mailing Fax Number | 7029336770 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9523 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 0002018400 | 05 |
| Street Address |
3650 S EASTERN AVE STE 210 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154784924 | Precious Care Service LLC | In Home Supportive Care | 3650 S Eastern Ave, Suite 330b, Las Vegas, NV 89169-3379 | 2016-03-30 |
| 1982067757 | Precious Care Service LLC | In Home Supportive Care | 3650 S Eastern Ave, Suite 330b, Las Vegas, NV 89169-3379 | 2016-03-30 |
| 1821224478 | Precious Care Service LLC | In Home Supportive Care | 3650 S Eastern Ave, Suite 330b, Las Vegas, NV 89169-3379 | 2009-06-09 |
| 1235335167 | Jack D Close | Physical Therapist | 3650 S Eastern Ave, Ste 100, Las Vegas, NV 89109-3379 | 2007-06-26 |
| 1750587689 | Robert M Williams | Physical Therapist | 3650 S Eastern Ave, Ste 100, Las Vegas, NV 89109-3379 | 2007-06-26 |
| 1104941152 | Christa Milena Carlomusto | Physical Therapist | 3650 S Eastern Ave, 100, Las Vegas, NV 89109-3379 | 2007-03-20 |
| 1669485306 | Bradley Jay Thompson | Internal Medicine | 3650 S Eastern Ave, #300, Las Vegas, NV 89109-3379 | 2006-08-14 |
| 1376560896 | Villaflor & Villaflor A Prof Corp | Family Medicine | 3650 S Eastern Ave, Suite 210, Las Vegas, NV 89109-3379 | 2006-07-17 |
| 1487682662 | Earl Jacobson | Podiatrist | 3650 S Eastern Ave, # 200, Las Vegas, NV 89169-3345 | 2006-06-28 |
| 1952342891 | Renu S Batra | Pediatrics | 3650 S Eastern Ave, # 230, Las Vegas, NV 89109-3379 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
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| 1376160291 | Qazi, Ribeiro, and Shah Pllc | Internal Medicine | 1925 Village Center Cir Ste 150, Las Vegas, NV 89134-6261 | 2020-06-26 |
| 1639791791 | Spring Mountain Medical Center Pllc | Internal Medicine | 4276 Spring Mountain Rd Unit 211, Las Vegas, NV 89102-8781 | 2020-05-12 |
| 1720609555 | Alia Parveen Inc | Internal Medicine | 337 Rezzo St, Las Vegas, NV 89138-4624 | 2020-05-04 |
| 1225658982 | Ejo Mannaparambil John Md Pllc | Internal Medicine | 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 | 2020-04-23 |
| 1780203869 | Curry Pllc | Internal Medicine | 8535 Edna Ave, Las Vegas, NV 89117-4413 | 2020-04-09 |
| 1073142980 | Fajar Corp LLC | Internal Medicine | 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 | 2020-04-02 |
| 1912534348 | Garrison Medical Consultants Pllc | Internal Medicine | 6852 Sumatra St, Las Vegas, NV 89166-7001 | 2020-03-25 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.