Individualized Internal Medicine Llc

NPI 1194120253 - Internal Medicine - 207R00000X

NPI Details
NPI 1194120253
Enumeration Date 10/30/2014
Last Updated 10/30/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SHAMINI K SHAMINI
Position OWNER AND PHYSICIAN
Phone (702) 304-0854
Fax (702) 256-2821
Practice Location
8463 W LAKE MEAD BLVD
LAS VEGAS NV, 89128-7638, US
Phone (702) 304-0854
Fax (702) 256-2821
Business Location
8463 W LAKE MEAD BLVD
LAS VEGAS NV, 89128-7638, US
Phone (702) 304-0854
Fax (702) 256-2821
Toxanomy
Taxonomy Code 207R00000X
License State Nevada
License Number 8025
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According to our database, Individualized Internal Medicine Llc NPI is 1194120253, taxonomy code is 207R00000X and license number is 8025, license state is located at Nevada. Individualized Internal Medicine Llc physically located at 8463 W Lake Mead Blvd, Las Vegas NV, 89128-7638. NPI Number 1033115704 has the healthcare provider type.

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1194120253 NPI number is provided on an as is basis without warranty of any kind. 1194120253 is maintained by the National Plan & Provider Enumeration System. The contents of Individualized Internal Medicine Llc are for informational purposes only.