Unknown Abbas
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Las Vegas, NV
NPI 1003676057 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1003676057
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312 - Phone
- (702) 676-3650
- Fax
- (702) 676-3635
- NPI assigned
- Mar 19, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240826000601 | NV | Order and Referring Only - Internal Medicine |
4385183110 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312
Mailing address
1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312
Phone (702) 676-3650
Other providers in Las Vegas, NV
- Manuk Abazyan
- Abba & Sons Inc
- Lujein Abbas
- Muhammad Sami Abbas
- Tahani Abbas
- Arezou Abbasi
- Cyrus Omid Abbasi
- Omar Abbasi
- Abbey Dental Drake, PLLC
- Abbey Dental Khanna PC
All providers in Las Vegas, NV · Student in an Organized Health Care Education/Training Program in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.