Healthcare Provider Details

I. General information

NPI: 1326188558
Provider Name (Legal Business Name): NAUMAN JAHANGIR M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N TENAYA WAY STE 260
LAS VEGAS NV
89128-0459
US

IV. Provider business mailing address

PO BOX 100744
ATLANTA GA
30384-0744
US

V. Phone/Fax

Practice location:
  • Phone: 702-962-5920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number11295
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: