Active NPI
Ramin Etebar MD LTD
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1750570537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6788
- Legal business name
- RAMIN ETEBAR MD LTD
- Practice address
- 2555 Montessouri St
Suite B
Las Vegas, NV 89117-3058 - Phone
- (702) 870-1800
- NPI assigned
- Oct 17, 2007
- 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
- Ramin Etebar, MD
- Title
- Physician
- Phone
- (702) 870-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6788 | NV | Primary |
Addresses
Primary practice location
2555 Montessouri St
Suite B
Las Vegas, NV 89117-3058
Mailing address
PO Box 35288
Las Vegas, NV 89133-5288
Phone (702) 870-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019316 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
2555 Montessouri St
Ste B
Las Vegas, NV 89117
Phone (702) 272-0694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234396800000",
"number": "1750570537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35288",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335288",
"telephone_number": "702-870-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 MONTESSOURI ST",
"address_2": "SUITE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173058",
"telephone_number": "702-870-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAMIN ETEBAR MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2009-02-12",
"status": "A",
"authorized_official_last_name": "ETEBAR",
"authorized_official_first_name": "RAMIN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "702-870-1800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "6788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019316",
"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 Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.