Individual
DR. MUKHTAR ALI GANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 S RANCHO DR, LAS VEGAS, NV 89106-4873
(702) 636-6355
(702) 636-4008
Mailing address
630 S RANCHO DR, LAS VEGAS, NV 89106-4873
(702) 636-3000
(702) 636-4008
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
16474020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30179200
—
WI
Enumeration date
08/10/2006
Last updated
07/13/2007
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