Organization Active NPI

Aj Medical Solutions, LLC

  • Sports Medicine (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1063100394
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
AJ MEDICAL SOLUTIONS, LLC
Practice address
6315 S Rainbow Blvd
Las Vegas, NV 89118-3216
Phone
(702) 497-5971
Fax
(702) 233-1793
NPI assigned
Apr 25, 2023
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Azam Hakim
Title
Officer
Phone
(702) 497-5971

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PS0010X
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

6315 S Rainbow Blvd
Las Vegas, NV 89118-3216

Mailing address

7251 W Charleston Blvd
Las Vegas, NV 89117-1632
Phone (702) 497-5971

National Provider Directory

National Provider Directory

Locations

6315 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 497-5971

7251 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 233-1791

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1063100394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171632",
            "telephone_number": "702-497-5971",
            "fax_number": "702-233-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183216",
            "telephone_number": "702-497-5971",
            "fax_number": "702-233-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ MEDICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "AZAM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "702-497-5971"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "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 Apr 25, 2023; 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.