Internal Medicine Clinic Banerji LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9544 Issued in NV

Legal business name

INTERNAL MEDICINE CLINIC BANERJI LTD

Practice address

5731 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5620

Phone

(702) 740-5311

Fax

(702) 740-5310

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bashab Banerji, MDNPI 1659379717

Title

Owner

Phone

(702) 740-5311

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bashab Banerji, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659379717
  Medicare reassignment NPD Authorized official
• Loida Loyola Arquiza, APRN-CNP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1932732633
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1851403646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 SOUTH FORT APACHE ROAD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-740-5311",
            "fax_number": "702-740-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485620",
            "telephone_number": "702-740-5311",
            "fax_number": "702-740-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CLINIC BANERJI LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "BANERJI",
        "authorized_official_first_name": "BASHAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-740-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "9544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5081",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intermountain Medical Holdings Nevada Inc
• Intermountain Medical Holdings Nevada Inc
• Internal Medicine
• Internal Medicine Associates Laboratory
• Internal Medicine Associates of Southern Nevada, Inc.
• Internal Medicine Consultants
• Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah Whi
• Internal Vitality, LLC
• International Adult Day Care
• International Adult Day Care

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.