MEDICARE: COMMUNITY MEDICINE 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
1	207R00000X	Internal Medicine Physician	NV20051140166	NV

General Provider Information

NPI Number	:	1942267901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY MEDICINE INC.

Provider Business Mailing Address
First Line	:	9811 W CHARLESTON BLVD STE 2-770
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	702-224-2525
Fax Number	:	702-991-7258

Provider Business Practice Location Address
First Line	:	9811 W CHARLESTON BLVD STE 2-770
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	702-224-2525
Fax Number	:	702-991-7258

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AMIR AFTAB
Credential	:	MD
Telephone Number	:	702-862-6259

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	07/21/2022

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Directions to “COMMUNITY MEDICINE INC. ” Practice Location

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