NPIMap

Organization Active NPI

Infectious Disease Consultant of Southern Nevada

  • Infectious Disease Physician
  • Las Vegas, NV
National Provider Identifier
1538696307
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE CONSULTANT OF SOUTHERN NEVADA
Practice address
1700 E Desert Inn Rd
Suite 301
Las Vegas, NV 89169-3242
Phone
(702) 649-8009
Fax
(702) 492-1728
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Shirin Rahman, M.D.
Title
President
Phone
(702) 649-8009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

1700 E Desert Inn Rd
Suite 301
Las Vegas, NV 89169-3242

Mailing address

1700 E Desert Inn Rd
Suite 301
Las Vegas, NV 89169-3242
Phone (702) 649-8009

National Provider Directory

National Provider Directory

Locations

1700 E Desert Inn Rd
Ste 301
Las Vegas, NV 89169

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1538696307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E DESERT INN RD",
            "address_2": "SUITE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693242",
            "telephone_number": "702-649-8009",
            "fax_number": "702-492-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E DESERT INN RD",
            "address_2": "SUITE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693242",
            "telephone_number": "702-649-8009",
            "fax_number": "702-492-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANT OF SOUTHERN NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-649-8009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 2017; 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.