| Fajar Corp Llc | |
|
2991 Raywood Ash Dr Las Vegas NV 89138-6143 | |
| (201) 737-6717 | |
| (702) 446-6343 |
| Full Name | Fajar Corp Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2991 Raywood Ash Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Salman Arif (PRESIDENT) |
| Authorized Official Contact | 2017376717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fajar Corp Llc 2991 Raywood Ash Dr Las Vegas NV 89138-6143 Ph: (201) 737-6717 | Fajar Corp Llc 2991 Raywood Ash Dr Las Vegas NV 89138-6143 Ph: (201) 737-6717 |
| NPI Number | 1073142980 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 04/02/2020 |
| Medicare PECOS PAC ID | 2860819554 |
|---|---|
| Medicare Enrollment ID | O20200826001571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073142980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Salman Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225404528 PECOS PAC ID: 8921393794 Enrollment ID: I20160818002424 |
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