Provider Demographics
NPI:1073592309
Name:AHN, ABDULLA & KRISHNAN, M.D., LTD
Entity Type:Organization
Organization Name:AHN, ABDULLA & KRISHNAN, M.D., LTD
Other - Org Name:SOUTHERN NEVADA NEONATAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FAROOQ
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-384-8099
Mailing Address - Street 1:5586 S FORT APACHE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-7682
Mailing Address - Country:US
Mailing Address - Phone:702-384-8099
Mailing Address - Fax:702-384-3930
Practice Address - Street 1:5586 S FORT APACHE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7682
Practice Address - Country:US
Practice Address - Phone:702-384-8099
Practice Address - Fax:702-384-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV38436Medicare PIN