=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659009504
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SAADIA FARMAN AKHTAR PA - C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/09/2022
-----------------------------------------------------
Last Update Date | 10/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3080 VISTA BLVD STE 100
-----------------------------------------------------
City | SPARKS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89436-6705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-250-2233
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1077 NEW RIVER PKWY
-----------------------------------------------------
City | FALLON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89406-6894
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-250-2233
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number | 0673
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------