Organization
FARRUKH IMTIAZ MD A PROFESSIONAL CORPORATION
Active
Organization
FARRUKH IMTIAZ MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARRUKH IMTIAZ MD (OWNER OF ENTITY)
(702) 933-6767
Entity
Organization
Contact information
Practice address
3650 S EASTERN AVE STE 210, LAS VEGAS, NV 89169-3345
(702) 933-6767
(702) 933-6770
Mailing address
3650 S EASTERN AVE STE 210, LAS VEGAS, NV 89169-3345
(702) 933-6767
(702) 933-6770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
08/07/2024
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