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NPI Code Detail

MEDICARE: AMIR AFTAB MD

MEDICARE: AMIR AFTAB MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician11125NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1WQBHVOTHERNVGROUP MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083671010
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIR AFTAB MD
Provider Business Mailing Address
First Line : 9811 W CHARLESTON BLVD
Second Line : STE 2-770
City : LAS VEGAS
State : NV
Zip : 89117-7528
Country : US
Telephone Number : 702-487-7055
Fax Number : 702-991-7258
Provider Business Practice Location Address
First Line : 2250 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5170
Country : US
Telephone Number : 702-487-7055
Fax Number : 702-727-1522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/21/2022

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