Provider Demographics
NPI:1669583175
Name:PARWEEN, NAIYERA (MD)
Entity type:Individual
Prefix:
First Name:NAIYERA
Middle Name:
Last Name:PARWEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 CORONADO CENTER DR
Mailing Address - Street 2:STE 211
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3992
Mailing Address - Country:US
Mailing Address - Phone:702-407-8241
Mailing Address - Fax:702-492-1728
Practice Address - Street 1:10410 S EASTERN AVE
Practice Address - Street 2:SUITE #100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4195
Practice Address - Country:US
Practice Address - Phone:702-914-7150
Practice Address - Fax:702-914-1924
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10660207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100501886Medicaid
P00308041OtherRAILROAD CARRIER
NV103396Medicare PIN
NV100501886Medicaid