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Individual

IJAZ ABID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
47 W OWENS AVE, NORTH LAS VEGAS, NV 89030-6865
(702) 307-4635
(702) 307-4631
Mailing address
1802 N CARSON ST STE 100, CARSON CITY, NV 89701-1227
(775) 888-6610
(775) 887-7047

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12162
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12162
MEDICAL LICENSE
NV
Enumeration date
01/19/2007
Last updated
07/08/2007
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