MEDICARE: MEDICAL GROUP AT SUN CITY HOSPITALISTS NAJMI PC

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
1	207R00000X	Internal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1790320703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL GROUP AT SUN CITY HOSPITALISTS NAJMI PC

Provider Business Mailing Address
First Line	:	2440 PROFESSIONAL CT STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0839
Country	:	US
Telephone Number	:	702-240-8155
Fax Number	:

Provider Business Practice Location Address
First Line	:	2440 PROFESSIONAL CT STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0839
Country	:	US
Telephone Number	:	702-240-8155
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	CYNTHIA E TEH
Credential	:	MD
Telephone Number	:	702-240-8155

Provider Enumeration Date	:	11/13/2019
Last Update Date	:	11/13/2019

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