Physical Medicine and Pain Management of Nevada, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PHYSICAL MEDICINE AND PAIN MANAGEMENT OF NEVADA, LLC

Doing business as

Physical Medicine & Pain Management of Nevada, LLC

Practice address

2004 Glenview Dr
Las Vegas, NV 89134

Phone

(702) 408-1096

NPI assigned

Aug 31, 2017

Last updated

Jun 28, 2018By 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

Farzin Farhang, MD

Title

Owner

Phone

(702) 408-1096

Specialties & licenses 1

Addresses

Other names 1

• Physical Medicine & Pain Management of Nevada, LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khalid A Kamal, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1396790838
  NPD
• Maria Cristina Llamanzares Pajara, NP-C

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1205275500
  NPD

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1952829764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR # 3-716",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 GLENVIEW DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134",
            "telephone_number": "702-408-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE AND PAIN MANAGEMENT OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "FARHANG",
        "authorized_official_first_name": "FARZIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-408-1096",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Medicine & Pain Management of Nevada, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Woranut Phuwana Chorphaka
• Vernica Phyffer
• Latiffany Phyfiher
• Sheree Lashawn Phylow, LPN
• Su Phyo
• Physical Medicine and Pain Management Specialist Inc
• Physical Medicine Associates, SC
• Physical Therapy by Olivia LLC
• Physician Assistant Surgical Specialists
• Physician to You LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.