Organization Active NPI

FKS Enterprise Inc

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1073726683
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9753 Issued in NV
Legal business name
FKS ENTERPRISE INC
Practice address
2600 S Rainbow Blvd
#108
Las Vegas, NV 89146-4006
Phone
(702) 655-1400
Fax
(702) 685-0612
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Farida Khan-Sewani, MDNPI 1154319929
Title
President
Phone
(702) 655-1400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 9753 NV Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 9753 NV

Addresses

Primary practice location

2600 S Rainbow Blvd
#108
Las Vegas, NV 89146-4006

Mailing address

2809 Crystal Beach Dr
Las Vegas, NV 89128-6908
Phone (702) 686-8977

Other identifiers 1

IdentifierTypeStateIssuer
100507762MedicaidNV

National Provider Directory

National Provider Directory

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1073726683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 CRYSTAL BEACH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286908",
            "telephone_number": "702-686-8977",
            "fax_number": "702-685-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S RAINBOW BLVD",
            "address_2": "#108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464006",
            "telephone_number": "702-655-1400",
            "fax_number": "702-685-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FKS ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "KHAN-SEWANI",
        "authorized_official_first_name": "FARIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-655-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9753",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "9753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507762",
            "state": "NV"
        }
    ],
    "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 Dec 15, 2009; 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.