Healthcare Provider Details

I. General information

NPI: 1811466964
Provider Name (Legal Business Name): EXPERT PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6671 LAS VEGAS BLVD S UNIT 210
LAS VEGAS NV
89119-3289
US

IV. Provider business mailing address

2900 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-5014
US

V. Phone/Fax

Practice location:
  • Phone: 702-357-8811
  • Fax: 702-947-5352
Mailing address:
  • Phone: 702-357-8811
  • Fax: 702-947-5352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. HUSSAIN HASSANALLY
Title or Position: MANAGING DIRECTOR
Credential: MHA
Phone: 702-357-8811