K.F.B.H., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11061 Issued in NV

Legal business name

K.F.B.H., LLC

Practice address

1090 Wigwam Pkwy
Suite 100
Henderson, NV 89074

Phone

(702) 454-0201

NPI assigned

Jul 11, 2007

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khairallah Fayazi, M.D.NPI 1528172145

Title

Managing Member

Phone

(602) 327-5747

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khairallah Fayazi, M.D.

  • Psychiatry Physician
  • Henderson, NV
  • NPI 1528172145
  Authorized official Same address or phone

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1700084720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 KELSO DUNES AVE",
            "address_2": "APT. 321",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147816",
            "telephone_number": "702-485-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 WIGWAM PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-454-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.F.B.H., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "FAYAZI",
        "authorized_official_first_name": "KHAIRALLAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-327-5747",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "11061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001700084720",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Just Like Home Care Services
• Anna Justice
• Ashlee Elizabeth Justice, MD
• Justin W Edwards, PLLC (Edwards Psychiatry)
• K. Shah M.D., LTD
• Esther Kabbani
• Rocio Kaelin
• Nicole Kaes, DPT
• David R Kahan, MD
• Houry Arine Kahwajian-Mock, MD

• Psychiatry Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.