Provider Demographics
NPI:1053824029
Name:NEVADA HEALTHCARE ASSOCIATES
Entity type:Organization
Organization Name:NEVADA HEALTHCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAJJAD
Authorized Official - Middle Name:EJAZ
Authorized Official - Last Name:KAMBOJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-650-0009
Mailing Address - Street 1:3950 S EASTERN AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5174
Mailing Address - Country:US
Mailing Address - Phone:702-650-0009
Mailing Address - Fax:702-233-5764
Practice Address - Street 1:3950 S EASTERN AVE STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5174
Practice Address - Country:US
Practice Address - Phone:702-650-0009
Practice Address - Fax:702-233-5764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9203207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty