MOKHTAR BOUKHARI DO NPI 1043716962

NPI Information

NPI: 1043716962
Provider Name: MOKHTAR BOUKHARI, DO
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
10001 S EASTERN AVE STE 200
HENDERSON, NV
ZIP 89052
Phone: (702) 790-1521
Get Directions

Mokhtar Boukhari, DO is a neurology psychiatry neurology in Henderson, NV with 6 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Mokhtar Boukhari, DO NPI is 1043716962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduation Year:2018

The provider's business location address is:

10001 S EASTERN AVE STE 200
HENDERSON, NV
ZIP 89052-908
Phone: (702) 790-1521

The NPI 1043716962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 6/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	DO3055	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043716962	MEDICAID	NEVADA
2	DO3055	OTHER	NEVADA	NV STATE BOARD OF OSTEOPATHIC MEDICINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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