Organization Active NPI

Nasibo Kadir MD PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1033615539
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14831 Issued in NV
Legal business name
NASIBO KADIR MD PLLC
Doing business as
Nasibo Kadir
Practice address
620 Shadow LN
Las Vegas, NV 89106-4119
Phone
(702) 388-4000
Fax
(702) 331-0277
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Nasibo Kadir, MDNPI 1104137546
Title
Owner
Phone
(702) 450-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 14831 NV Primary

Addresses

Primary practice location

620 Shadow LN
Las Vegas, NV 89106-4119

Mailing address

6771 W Charleston Blvd Ste C
Las Vegas, NV 89146-9016
Phone (702) 450-1717

Other identifiers 1

IdentifierTypeStateIssuer
1104137546MedicaidNV

Other names 1

  • Nasibo Kadir Doing business as

National Provider Directory

National Provider Directory

Locations

6771 W Charleston Blvd
Ste C
Las Vegas, NV 89146
Phone (702) 331-1800

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": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1033615539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 W CHARLESTON BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469016",
            "telephone_number": "702-450-1717",
            "fax_number": "702-331-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064119",
            "telephone_number": "702-388-4000",
            "fax_number": "702-331-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIBO KADIR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "KADIR",
        "authorized_official_first_name": "NASIBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-450-1717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104137546",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nasibo Kadir",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2018; 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.