Organization Active NPI

Valley Vascular Khan PC

  • Vascular & Interventional Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1891254439
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
VALLEY VASCULAR KHAN PC
Practice address
5785 S Fort Apache Rd Ste B
Las Vegas, NV 89148-5629
Phone
(801) 386-4240
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Joseph Hewett, MD
Title
Administrator
Phone
(801) 386-4240

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

5785 S Fort Apache Rd Ste B
Las Vegas, NV 89148-5629

Mailing address

5785 S Fort Apache Rd Ste B
Las Vegas, NV 89148-5629
Phone (801) 386-4240

National Provider Directory

National Provider Directory

Locations

5785 S Fort Apache Rd
Ste B
Las Vegas, NV 89148
Phone (801) 386-4240

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1891254439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 S FORT APACHE RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485629",
            "telephone_number": "801-386-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 S FORT APACHE RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485629",
            "telephone_number": "801-386-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VASCULAR KHAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "HEWETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-386-4240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 13, 2019; 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.