Active NPI
Nourollah Ghahreman, M.D.
- Gastroenterology Physician
- Las Vegas, NV
National Provider Identifier
1669808390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2668
- Practice address
- 3291 Mission Creek Court
Las Vegas, NV 89135 - Phone
- (702) 630-2072
- Fax
- (702) 202-0929
- NPI assigned
- Sep 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2668 | NV | Primary |
Addresses
Primary practice location
3291 Mission Creek Court
Las Vegas, NV 89135
Mailing address
3291 Mission Creek Court
Las Vegas, NV 89135
Phone (702) 630-2072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1669808390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 MISSION CREEK COURT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89135",
"telephone_number": "702-630-2072",
"fax_number": "702-202-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 MISSION CREEK COURT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89135",
"telephone_number": "702-630-2072",
"fax_number": "702-202-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAHREMAN",
"first_name": "NOUROLLAH",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NV",
"license": "2668",
"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 Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.