Nevada Primary Physicians Group Nath MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8705 Issued in NV

Legal business name

NEVADA PRIMARY PHYSICIANS GROUP NATH MD

Practice address

3590 Alpine Lily Dr
Las Vegas, NV 89141-3251

Phone

(702) 460-6360

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Manoj Nath, MD

Title

Owner

Phone

(702) 460-6360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1386021590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 ALPINE LILY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 ALPINE LILY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413251",
            "telephone_number": "702-460-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PRIMARY PHYSICIANS GROUP NATH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-460-6360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 17, 2015; 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.