Healthcare Provider Details

I. General information

NPI: 1720031255
Provider Name (Legal Business Name): SABITA MOKTAN SHEIKHAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SABITA MOKTAN M.D.

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4475 S EASTERN AVE
LAS VEGAS NV
89119
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 702-877-5299
  • Fax:
Mailing address:
  • Phone: 702-877-5199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number205468
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number205468
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number18480
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: