Provider Demographics
NPI:1922298595
Name:VRIJENDRA K HOON MD PC
Entity Type:Organization
Organization Name:VRIJENDRA K HOON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPREITER
Authorized Official - Prefix:
Authorized Official - First Name:VRIJENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-203-8204
Mailing Address - Street 1:6945 TARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3027
Mailing Address - Country:US
Mailing Address - Phone:702-336-8204
Mailing Address - Fax:
Practice Address - Street 1:6945 TARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3027
Practice Address - Country:US
Practice Address - Phone:702-336-8204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8780207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1922298595OtherNPI GROUP
1619073897OtherINDIVIDUAL NPI NUMBER
2018316OtherNEVADA NMO NUMBER
2018316OtherNEVADA NMO NUMBER
NE=========OtherEIN NUMBER
NVV38067Medicare PIN
NVV38066Medicare PIN