Individual
ALLEN KHAKSHOOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10624 S EASTERN AVE STE A955, HENDERSON, NV 89052-2982
(702) 407-7700
Mailing address
10624 S EASTERN AVE STE A955, HENDERSON, NV 89052-2982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27736
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386376457
—
NV
Enumeration date
06/28/2022
Last updated
07/25/2025
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