Organization Active NPI

Ramin Etebar MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1750570537
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6788 Issued in NV
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

Updated by the provider on Feb 12, 2009

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
002019316MedicaidNV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.