Organization Active NPI

Shazia Professional Corporation

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1689823148
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11267 Issued in NV
Legal business name
SHAZIA PROFESSIONAL CORPORATION
Practice address
612 Silver Grove St
Las Vegas, NV 89144-4113
Phone
(702) 921-6823
Fax
(702) 921-6821
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Shazia Hamid, MD
Title
Owner
Phone
(702) 921-6823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11267 NV Primary

Addresses

Primary practice location

612 Silver Grove St
Las Vegas, NV 89144-4113

Mailing address

612 Silver Grove St
Las Vegas, NV 89144-4113
Phone (702) 921-6823

National Provider Directory

National Provider Directory

Locations

4205 S Grand Canyon Dr
Ste 20
Las Vegas, NV 89147
Phone (702) 228-9870

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1689823148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SILVER GROVE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444113",
            "telephone_number": "702-921-6823",
            "fax_number": "702-921-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SILVER GROVE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444113",
            "telephone_number": "702-921-6823",
            "fax_number": "702-921-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAZIA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "HAMID",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-921-6823",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11267",
            "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 9, 2008; 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.