Organization Active NPI

Farooq Abdulla MD

  • Neonatal-Perinatal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1437563202
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
6413 Issued in NV
Legal business name
FAROOQ ABDULLA MD
Practice address
2501 W Charleston Blvd
Las Vegas, NV 89102-2127
Phone
(702) 948-8897
Fax
(702) 549-3178
NPI assigned
Jun 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Dr. Farooq Abdulla, M.D., FAAP, IBCLC, M
Title
Owner & Provider
Phone
(702) 301-0565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X 6413 NV Primary

Addresses

Primary practice location

2501 W Charleston Blvd
Las Vegas, NV 89102-2127

Mailing address

PO Box 95306
Las Vegas, NV 89193-5306
Phone (702) 948-8897

Other names 1

  • NEOPEDIATRICS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1437563202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891935306",
            "telephone_number": "702-948-8897",
            "fax_number": "702-549-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022127",
            "telephone_number": "702-948-8897",
            "fax_number": "702-549-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAROOQ ABDULLA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "ABDULLA",
        "authorized_official_first_name": "FAROOQ",
        "authorized_official_title_or_position": "OWNER & PROVIDER",
        "authorized_official_telephone_number": "702-301-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FAAP, IBCLC, M"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NV",
            "license": "6413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEOPEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 12, 2014; 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.