Provider Demographics
NPI:1639310709
Name:HUSAIN AND KALLA, PLLC
Entity Type:Organization
Organization Name:HUSAIN AND KALLA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIJNATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-765-5780
Mailing Address - Street 1:98 E LAKE MEAD PKWY
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-5540
Mailing Address - Country:US
Mailing Address - Phone:702-765-5780
Mailing Address - Fax:
Practice Address - Street 1:3031 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3808
Practice Address - Country:US
Practice Address - Phone:702-433-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty