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NPI Code Detail

MEDICARE: IRENE KHAIR

MEDICARE: IRENE KHAIR
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
1225100000XPhysical TherapistPT 31307FL
2225100000XPhysical Therapist4755NV

Other Identifiers

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

General Provider Information

NPI Number : 1902254774
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE KHAIR
Provider Business Mailing Address
First Line : 10325 TOASTED ACORN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-8083
Country : US
Telephone Number : 714-566-5608
Fax Number :
Provider Business Practice Location Address
First Line : 2550 NATURE PARK DR STE 250
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3206
Country : US
Telephone Number : 702-859-4710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2016
Last Update Date : 04/18/2022

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Directions to “ IRENE KHAIR ” Practice Location

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