Active NPI
Sassan Kaveh MD Prof Corp
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1649291352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8320
- Legal business name
- SASSAN KAVEH MD PROF CORP
- Practice address
- 3150 N Tenaya Way
Suite 400
Las Vegas, NV 89128-0443 - Phone
- (702) 233-6661
- Fax
- (702) 233-3055
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sassan Kaveh, MD
- Title
- President
- Phone
- (702) 233-6661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8320 | NV | Primary |
Addresses
Primary practice location
3150 N Tenaya Way
Suite 400
Las Vegas, NV 89128-0443
Mailing address
3150 N Tenaya Way
Suite 400
Las Vegas, NV 89128-0443
Phone (702) 233-6661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851385447 | Medicaid | NV | |
| 6750110001 | Other | NV | PTAN |
National Provider Directory
National Provider DirectoryLocations
3150 N Tenaya Way
Ste 540
Las Vegas, NV 89128
Phone (702) 228-4088
3150 N Tenaya Way
Ste 400
Las Vegas, NV 89128
Phone (702) 233-6661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609113600000",
"number": "1649291352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 N TENAYA WAY",
"address_2": "SUITE 400",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280443",
"telephone_number": "702-233-6661",
"fax_number": "702-233-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 N TENAYA WAY",
"address_2": "SUITE 400",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280443",
"telephone_number": "702-233-6661",
"fax_number": "702-233-3055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SASSAN KAVEH MD PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A",
"authorized_official_last_name": "KAVEH",
"authorized_official_first_name": "SASSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-233-6661",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "8320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851385447",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "6750110001",
"state": "NV"
}
],
"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 Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.