Organization Active NPI

Muhammad Shafique MD PC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1639329543
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10299 Issued in NV
Legal business name
MUHAMMAD SHAFIQUE MD PC
Practice address
10620 Southern Highlands Pkwy
Suite 110-410
Las Vegas, NV 89141-4371
Phone
(702) 210-5275
NPI assigned
Sep 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Muhammad Shafique, MDNPI 1700836137
Title
President
Phone
(702) 228-7812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10299 NV Primary

Addresses

Primary practice location

10620 Southern Highlands Pkwy
Suite 110-410
Las Vegas, NV 89141-4371

Mailing address

10620 Southern Highlands Pkwy
Suite 110-410
Las Vegas, NV 89141-4371
Phone (702) 210-5275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090728000168 NV Part B Supplier - Clinic/Group Practice 4284787045 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

10620 Southern Highlands Pkwy
#10410
Las Vegas, NV 89141

10620 Southern Highlands Pkwy
Ste 110410
Las Vegas, NV 89141
Phone (702) 210-5275

Practitioners & affiliated clinicians

Practitioners 1

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": "1222473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1639329543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 SOUTHERN HIGHLANDS PKWY",
            "address_2": "SUITE 110-410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414371",
            "telephone_number": "702-210-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 SOUTHERN HIGHLANDS PKWY",
            "address_2": "SUITE 110-410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414371",
            "telephone_number": "702-210-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD SHAFIQUE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-27",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "SHAFIQUE",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-228-7812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10299",
            "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 Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.