Organization Active NPI

Shaukat S Damji a Nevada Professional Corporation

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1205270469
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7362 Issued in NV
Legal business name
SHAUKAT S DAMJI A NEVADA PROFESSIONAL CORPORATION
Practice address
7150 Smoke Ranch Rd Ste 110
Las Vegas, NV 89128-3157
Phone
(702) 948-9480
Fax
(702) 685-5956
NPI assigned
Apr 18, 2013
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Shaukat S. Damji, MD
Title
Owner/MD
Phone
(702) 630-8462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7362 NV Primary

Addresses

Primary practice location

7150 Smoke Ranch Rd Ste 110
Las Vegas, NV 89128-3157

Mailing address

2824 Sterling Cove Dr
Las Vegas, NV 89128-7744
Phone (702) 630-8462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1205270469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 STERLING COVE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287744",
            "telephone_number": "702-630-8462",
            "fax_number": "702-685-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SMOKE RANCH RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-948-9480",
            "fax_number": "702-685-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUKAT S DAMJI A NEVADA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "DAMJI",
        "authorized_official_first_name": "SHAUKAT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "702-630-8462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "7362",
            "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 30, 2013; 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.