Healthcare Provider Details

I. General information

NPI: 1932156452
Provider Name (Legal Business Name): FIRHAAD ISMAIL M. D. , A. P. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2006
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 E FLAMINGO RD SUITE # C
LAS VEGAS NV
89121-5200
US

IV. Provider business mailing address

2470 E FLAMINGO RD SUITE # C
LAS VEGAS NV
89121-5200
US

V. Phone/Fax

Practice location:
  • Phone: 702-792-4500
  • Fax: 702-792-9000
Mailing address:
  • Phone: 702-792-4500
  • Fax: 702-792-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number5801
License Number StateNV

VIII. Authorized Official

Name: DR. FIRHAAD ISMAIL
Title or Position: PRESIDENT
Credential: M. D.
Phone: 702-792-4500