Fayazi, Khairallah
Fayazi, Khairallah is an individual health care provider with primary practice located at 1090 Wigwam Pkwy Ste 100, Henderson NV 89074-8181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fayazi, Khairallah can be contacted via phone (702) 454-0201.Contact Information
Primary practice address
1090 Wigwam Pkwy Ste 100
Henderson NV 89074-8181
Phone: (702) 454-0201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 11061 | Nevada |
Profile Details
| NPI number | 1528172145 |
|---|---|
| LBN Legal business name | Fayazi, Khairallah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Apr 23rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528172145 | NPPES |
| Nevada | MEDICAID | 001700084720 |
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