1134355159 NPI number — NEELAM A ALMEQBELI DO

Table of content: NEELAM A ALMEQBELI DO (NPI 1134355159)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134355159 NPI number — NEELAM A ALMEQBELI DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALMEQBELI
Provider First Name:
NEELAM
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134355159
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1800 W. CHARLESTON BLVD. STE. 508
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-383-2688
Provider Business Mailing Address Fax Number:
702-671-6595

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4180 S. RAINBOW BLVD. SUITE 810
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-383-3626
Provider Business Practice Location Address Fax Number:
702-227-8487
Provider Enumeration Date:
06/04/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  DO1790 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RES0000 . This is a "MEDICARE UPIN FOR RESIDENCY PROGRAM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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