Shamsuddin Al-Islam

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088

Phone

(702) 761-6567

NPI assigned

Jul 25, 2019

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2019.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1992359137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "702-761-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "702-761-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ISLAM",
        "first_name": "SHAMSUDDIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basel Al-Adham, PA-C
• Nadia Al-Faraje
• Al-Fath Ahmed Prof Corp
• Mariam Al-Hamad
• Zinah Tariq Al-Hamadani
• Marwah Al-Khazaali, M.D.
• Elaf Al-Lami
• Hanah Al-Rashed
• Hind Al-Rikabi
• Sarah G Al-Shimary

• All providers in Las Vegas, NV
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.