Organization Active NPI

Christopher Khorsandi M.D. PLLC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Henderson, NV
National Provider Identifier
1770912743
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
13044 Issued in NV
Legal business name
CHRISTOPHER KHORSANDI M.D. PLLC
Practice address
2779 Sunridge Heights Pkwy
Suite 100
Henderson, NV 89052-5050
Phone
(702) 608-1318
Fax
(702) 446-8026
NPI assigned
Nov 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Christopher Khorsandi, M.D.NPI 1235376377
Title
Sole Proprietor
Phone
(702) 608-1318

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
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X 13044 NV Primary

Addresses

Primary practice location

2779 Sunridge Heights Pkwy
Suite 100
Henderson, NV 89052-5050

Mailing address

4616 W Sahara Ave
#376
Las Vegas, NV 89102-3654
Phone (702) 608-1318

Other names 1

  • VIP Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

2779 Sunridge Heights Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 508-6116

4616 W Sahara Ave
#376
Las Vegas, NV 89102

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": "1384041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1770912743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W SAHARA AVE",
            "address_2": "#376",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023654",
            "telephone_number": "702-608-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 SUNRIDGE HEIGHTS PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525050",
            "telephone_number": "702-608-1318",
            "fax_number": "702-446-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER KHORSANDI M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-10",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "KHORSANDI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "702-608-1318",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NV",
            "license": "13044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.