Enayat Endocrinology and Metabolism, PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ENAYAT ENDOCRINOLOGY AND METABOLISM, PLLC

Practice address

10105 Banburry Cross Dr Ste 130
Las Vegas, NV 89144-6642

Phone

(615) 879-0587

NPI assigned

Jan 16, 2019

Last updated

Dec 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samim Enayat, MD

Title

Physician/Owner

Phone

(702) 272-2792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1265906937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS DR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446642",
            "telephone_number": "702-272-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS DR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446642",
            "telephone_number": "615-879-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAYAT ENDOCRINOLOGY AND METABOLISM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "ENAYAT",
        "authorized_official_first_name": "SAMIM",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "702-272-2792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Endocrinology, Diabetes & Metabolism Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.