Organization
FKS ENTERPRISE INC
Active
Organization
FKS ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDA KHAN-SEWANI MD (PRESIDENT)
(702) 655-1400
Entity
Organization
Contact information
Practice address
2600 S RAINBOW BLVD, #108, LAS VEGAS, NV 89146-4006
(702) 655-1400
(702) 685-0612
Mailing address
2809 CRYSTAL BEACH DR, LAS VEGAS, NV 89128-6908
(702) 686-8977
(702) 685-0612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9753
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
9753
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507762
—
NV
Enumeration date
05/08/2007
Last updated
12/15/2009
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