1346218047 NPI number — DR. NAZIA JUNEJO MD

Table of content: DR. NAZIA JUNEJO MD (NPI 1346218047)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346218047 NPI number — DR. NAZIA JUNEJO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JUNEJO
Provider First Name:
NAZIA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1346218047
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6900 N PECOS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89086-4400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-791-9000
Provider Business Mailing Address Fax Number:
702-224-6971

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6900 PECOS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89086-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-791-9000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2006

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: 207RN0300X , with the licence number:  51624871205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: 51624871205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RN0300X , with the licence number: 41123 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RN0300X , with the licence number: 22164 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RN0300X , with the licence number: C129823 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 245915 . This is a "ALTIUS COVENTRY WEST SERV" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 84040 . This is a "PEHP IHC" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 912160693NAZ . This is a "EDUCATORS MUTUAL" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 0400950 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 000000536892 . This is a "BCBS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 51624871202001 . This is a "BCBS OF UTAH" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 7158480 . This is a "AETNA HC IHC" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: D4833 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100019540 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 882057 . This is a "GREATWEST" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 912160693001 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".




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