Organization Active NPI

Kiarash Mirkia MD PC

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1033447362
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12548 Issued in NV
Legal business name
KIARASH MIRKIA MD PC
Practice address
5875 S Rainbow Blvd Ste 201
Las Vegas, NV 89118-2556
Phone
(702) 889-6292
Fax
(702) 954-4591
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kiarash Mirkia, MD
Title
Owner
Phone
(702) 496-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 12548 NV Primary

Addresses

Primary practice location

5875 S Rainbow Blvd Ste 201
Las Vegas, NV 89118-2556

Mailing address

5875 S Rainbow Blvd
Ste 201
Las Vegas, NV 89118
Phone (702) 889-6292

National Provider Directory

National Provider Directory

Locations

3131 La Canada St
Las Vegas, NV 89169
Phone (702) 636-6360

5875 S Rainbow Blvd
Ste 201
Las Vegas, NV 89118
Phone (702) 463-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1033447362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 S RAINBOW BLVD",
            "address_2": "STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-889-6292",
            "fax_number": "702-979-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 S RAINBOW BLVD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182556",
            "telephone_number": "702-889-6292",
            "fax_number": "702-954-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIARASH MIRKIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "MIRKIA",
        "authorized_official_first_name": "KIARASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-496-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NV",
            "license": "12548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.