=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023010782
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | POUPAK BIGGER M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2005
-----------------------------------------------------
Last Update Date | 03/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2641 W HORIZON RIDGE PKWY STE 100
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89052-4836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-616-0091
-----------------------------------------------------
Fax | 702-616-2329
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2641 W HORIZON RIDGE PKWY STE 100
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89052-4836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-616-0091
-----------------------------------------------------
Fax | 702-616-2329
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 036-112460
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 12525
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------