Ihawa

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IHAWA

Practice address

1504 Couples St
Las Vegas, NV 89128-2155

Phone

(702) 527-1463

Fax

(888) 959-8990

NPI assigned

Jul 3, 2013

Last updated

Jul 3, 2013By 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

Mr. Ali Jai Al Zakar Faison

Title

President

Phone

(702) 527-1463

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1790125862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 COUPLES ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282155",
            "telephone_number": "702-527-1463",
            "fax_number": "888-959-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 COUPLES ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282155",
            "telephone_number": "702-527-1463",
            "fax_number": "888-959-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHAWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "FAISON",
        "authorized_official_first_name": "ALI JAI",
        "authorized_official_middle_name": "AL ZAKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-527-1463",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.