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NPI Code Detail

MEDICARE: INTERNAL MEDICINE ASSOCIATES OF SOUTHERN NEVADA, INC.

MEDICARE: INTERNAL MEDICINE ASSOCIATES OF SOUTHERN NEVADA, INC.
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
1207RI0200XInfectious Disease Physician10688NV
2207R00000XInternal Medicine Physician10067NV

General Provider Information

NPI Number : 1316973647
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERNAL MEDICINE ASSOCIATES OF SOUTHERN NEVADA, INC.
Provider Business Mailing Address
First Line : 3196 S MARYLAND PKWY STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2313
Country : US
Telephone Number : 702-649-8009
Fax Number : 702-649-8049
Provider Business Practice Location Address
First Line : 3196 S MARYLAND PKWY STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2313
Country : US
Telephone Number : 702-649-8009
Fax Number : 702-649-8049
Authorized Official
Title or Position : PRESIDENT
Name : DR. TANVIR BIN HOSSAIN
Credential : M.D.
Telephone Number : 702-649-8009
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/15/2022

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Directions to “INTERNAL MEDICINE ASSOCIATES OF SOUTHERN NEVADA, INC. ” Practice Location

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