Provider Demographics
NPI:1164859120
Name:CAVALLINI LLC
Entity Type:Organization
Organization Name:CAVALLINI LLC
Other - Org Name:FEROZAN MALAL MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-
Authorized Official - Prefix:DR
Authorized Official - First Name:FEROZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-812-4605
Mailing Address - Street 1:7575 NORMAN ROCKWELL LN
Mailing Address - Street 2:STE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89143-6014
Mailing Address - Country:US
Mailing Address - Phone:702-812-4605
Mailing Address - Fax:702-898-4021
Practice Address - Street 1:7575 NORMAN ROCKWELL LN
Practice Address - Street 2:STE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89143-6014
Practice Address - Country:US
Practice Address - Phone:702-812-4605
Practice Address - Fax:702-898-4021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11605207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty