Individual
KHURSHEEDA PATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 N NELLIS BLVD, LAS VEGAS, NV 89110-5364
(702) 459-7424
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 579-3270
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11181
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11181
MEDICAL LICENSE
NV
05
—
1225106131
—
NV
Enumeration date
11/30/2006
Last updated
07/15/2015
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