Raafat Mohammadkhani DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

915 Issued in NV

Legal business name

RAAFAT MOHAMMADKHANI DO PC

Practice address

6850 N Durango Dr
Suite 308
Las Vegas, NV 89149-4595

Phone

(702) 221-9355

Fax

(702) 221-9301

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Raafat Khani, DO

Title

President

Phone

(702) 221-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CENTENNIAL HEALTH & WELLNESS CENTER Doing business as

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1467615401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "SUITE 308",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494595",
            "telephone_number": "702-221-9355",
            "fax_number": "702-221-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "SUITE 308",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494595",
            "telephone_number": "702-221-9355",
            "fax_number": "702-221-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAAFAT MOHAMMADKHANI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "KHANI",
        "authorized_official_first_name": "RAAFAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-221-9355",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467615402",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTENNIAL HEALTH & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Nov 23, 2011; 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.