Healthcare Provider Details

I. General information

NPI: 1528552379
Provider Name (Legal Business Name): SNF DOCTORS OF HENDERSON, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W WASHINGTON AVE
LAS VEGAS NV
89106-3731
US

IV. Provider business mailing address

2669 MIRABELLA ST
HENDERSON NV
89052-3172
US

V. Phone/Fax

Practice location:
  • Phone: 702-902-0301
  • Fax:
Mailing address:
  • Phone: 702-902-0301
  • Fax: 702-776-4841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SYED FAIZ RAHMAN
Title or Position: CEO
Credential: MD
Phone: 702-250-9146