Healthcare Provider Details
I. General information
NPI: 1073381794
Provider Name (Legal Business Name): PLATINUM HOSPITALISTS LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10624 S EASTERN AVE # A-955
HENDERSON NV
89052-2982
US
IV. Provider business mailing address
10624 S EASTERN AVE # A-955
HENDERSON NV
89052-2982
US
V. Phone/Fax
- Phone: 702-800-5393
- Fax: 702-407-7016
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TANVEER
AKBAR
Title or Position: CEO
Credential: MD
Phone: 702-800-5393