PHANIRAJ IYENGAR (NPI# 1922186659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922186659 |
| Entity Type | Individual |
| Full Name | PHANIRAJ IYENGAR |
| Credential | MD |
| Practice Address |
3006 S Maryland Pkwy Ste 765 Las Vegas NV 89109-2246 |
| Practice Telephone | 7027318115 |
| Mailing Telephone | (702) 731-8115 |
| Mailing Fax Number | 7027847844 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A56469 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
045318 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
3006 S MARYLAND PKWY STE 765 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962857607 | Suzan Hadwan | Psychiatry & Neurology | 3006 S Maryland Pkwy Ste 765, Las Vegas, NV 89109-2246 | 2016-05-02 |
| 1043402522 | Sunrise Mountainview Multispecialty Clinics, LLC | Internal Medicine | 3006 S Maryland Pkwy Ste 765, Las Vegas, NV 89109-2246 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316459696 | Summit Primary Care & Wellness | Psychiatry & Neurology | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2017-10-26 |
| 1962914242 | Summit Medical Center | Psychiatry & Neurology | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194460 | Precision Brain Care Pllc | Psychiatry & Neurology | 5740 River Birch Drive, Reno, NV 89511-4358 | 2020-01-29 |
| 1134437114 | Scott Selco Professional Corporation | Psychiatry & Neurology | 10001 S Eastern Ave, Suite 409, Henderson, NV 89052-3907 | 2010-09-23 |
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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.