Provider Demographics
NPI:1790320703
Name:MEDICAL GROUP AT SUN CITY HOSPITALISTS NAJMI PC
Entity Type:Organization
Organization Name:MEDICAL GROUP AT SUN CITY HOSPITALISTS NAJMI PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:TEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-240-8155
Mailing Address - Street 1:2440 PROFESSIONAL CT STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0839
Mailing Address - Country:US
Mailing Address - Phone:702-240-8155
Mailing Address - Fax:
Practice Address - Street 1:2440 PROFESSIONAL CT STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0839
Practice Address - Country:US
Practice Address - Phone:702-240-8155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1003011313Medicaid