DR. MUKHTAR ALI GANI M.D. NPI 1114938602

NPI Information

NPI: 1114938602
Provider Name: DR. MUKHTAR ALI GANI, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
630 S RANCHO DR
LAS VEGAS, NV
ZIP 89106
Phone: (702) 636-6355
Get Directions

DR. Mukhtar Ali Gani, M.D. is a cardiovascular disease internal medicine in Las Vegas, NV. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Mukhtar Ali Gani, M.D. NPI is 1114938602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

630 S RANCHO DR
LAS VEGAS, NV
ZIP 89106-873
Phone: (702) 636-6355
Fax: (702) 636-4008

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/13/2007.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	16474020	WISCONSIN	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
1	30179200	MEDICAID	WISCONSIN
2	01232	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
3	B52978	MEDICARE UPIN	WISCONSIN

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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