Internal Medicine Associates of Southern Nevada, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10067 Issued in NV

Legal business name

INTERNAL MEDICINE ASSOCIATES OF SOUTHERN NEVADA, INC.

Practice address

3196 S Maryland Pkwy Ste 202
Las Vegas, NV 89109-2313

Phone

(702) 649-8009

Fax

(702) 649-8049

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tanvir Bin Hossain, M.D.NPI 1881613891

Title

President

Phone

(702) 649-8009

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanvir Bin Hossain, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1881613891
  Medicare reassignment NPD Authorized official
• Natalie Berkeley, APRN-CNP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1841895281
  Medicare reassignment NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1316973647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092313",
            "telephone_number": "702-649-8009",
            "fax_number": "702-649-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092313",
            "telephone_number": "702-649-8009",
            "fax_number": "702-649-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF SOUTHERN NEVADA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "TANVIR",
        "authorized_official_middle_name": "BIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-649-8009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10067",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "10688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Medical Holding Nevada, Inc.
• Intermountain Medical Holdings Nevada Inc
• Intermountain Medical Holdings Nevada Inc
• Internal Medicine
• Internal Medicine Associates Laboratory
• Internal Medicine Clinic Banerji LTD
• Internal Medicine Consultants
• Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah Whi
• Internal Vitality, LLC
• International Adult Day Care

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.