Organization
RAAFAT MOHAMMADKHANI DO PC
Active
Other names
CENTENNIAL HEALTH & WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RAAFAT KHANI DO (PRESIDENT)
(702) 221-9355
Entity
Organization
Contact information
Practice address
6850 N DURANGO DR, SUITE 308, LAS VEGAS, NV 89149-4595
(702) 221-9355
(702) 221-9301
Mailing address
6850 N DURANGO DR, SUITE 308, LAS VEGAS, NV 89149-4595
(702) 221-9355
(702) 221-9301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
915
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467615402
—
NV
Enumeration date
07/09/2008
Last updated
11/23/2011
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