The Pediatric Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

NV7872 Issued in NV

Legal business name

THE PEDIATRIC CENTER

Practice address

2050 Mariner Dr
Suite #150
Las Vegas, NV 89128-6656

Phone

(702) 228-9066

Fax

(702) 228-9416

NPI assigned

Oct 13, 2006

Last updated

Aug 22, 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

Shazia A Kirmani, MD

Title

Owner

Phone

(702) 228-9066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356431274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 MARINER DR",
            "address_2": "SUITE #150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286656",
            "telephone_number": "702-228-9066",
            "fax_number": "702-228-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 MARINER DR",
            "address_2": "SUITE #150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286656",
            "telephone_number": "702-228-9066",
            "fax_number": "702-228-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRMANI",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-228-9066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "NV7872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.