Organization Active NPI

Ebla Hospitalists Group, LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1679905509
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EBLA HOSPITALISTS GROUP, LLC
Practice address
3006 S Maryland Pkwy
Suite 400
Las Vegas, NV 89109-2218
Phone
(267) 934-4188
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Mahfoud Beajow, M.DNPI 1457323990
Title
Owner
Phone
(267) 934-4188

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 Primary

Addresses

Primary practice location

3006 S Maryland Pkwy
Suite 400
Las Vegas, NV 89109-2218

Mailing address

3006 S Maryland Pkwy
Suite 400
Las Vegas, NV 89109-2218
Phone (267) 934-4188

National Provider Directory

National Provider Directory

Locations

3006 S Maryland Pkwy
Ste 400
Las Vegas, NV 89109
Phone (267) 934-4188

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": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1679905509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 S MARYLAND PKWY",
            "address_2": "SUITE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092218",
            "telephone_number": "267-934-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 S MARYLAND PKWY",
            "address_2": "SUITE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092218",
            "telephone_number": "267-934-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBLA HOSPITALISTS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "BEAJOW",
        "authorized_official_first_name": "MAHFOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-934-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 2, 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.

Verify at the official NPI Registry.