Medical Internists of Nevada LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO1453 Issued in NV

Legal business name

MEDICAL INTERNISTS OF NEVADA LLC

Practice address

6850 N Durango Dr
Suite 210
Las Vegas, NV 89149-4595

Phone

(949) 842-7059

NPI assigned

Aug 11, 2009

Last updated

Aug 11, 2009By 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. Homayon Iraninezhad, D.O

Title

President

Phone

(949) 842-7059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1912139890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36830",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494595",
            "telephone_number": "949-842-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL INTERNISTS OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "IRANINEZHAD",
        "authorized_official_first_name": "HOMAYON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-842-7059",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine 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 Aug 11, 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.