Active NPI
Nasibo Kadir MD PLLC
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1033615539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14831
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nasibo Kadir, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104137546 | Medicaid | NV |
Other names 1
- Nasibo Kadir
National Provider Directory
National Provider DirectoryLocations
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.