Organization
EJAZ KAMBOJ, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EJAZ U KAMBOJ M.D. (OWNER)
(702) 650-0009
Entity
Organization
Contact information
Practice address
1770 N BUFFALO DR STE 103, LAS VEGAS, NV 89128-2679
(702) 650-0009
(702) 233-5764
Mailing address
1770 N BUFFALO DR STE 103, LAS VEGAS, NV 89128-2679
(702) 650-0009
(702) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018267
—
NV
Enumeration date
04/18/2007
Last updated
10/08/2018
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