Provider Demographics
NPI:1740475664
Name:DAMAJ HORIZON VIEW MEDICAL CENTER, PC
Entity type:Organization
Organization Name:DAMAJ HORIZON VIEW MEDICAL CENTER, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOUHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-641-8500
Mailing Address - Street 1:PO BOX 33166
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-3166
Mailing Address - Country:US
Mailing Address - Phone:702-641-8500
Mailing Address - Fax:
Practice Address - Street 1:6170 N DURANGO DR STE 220
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-3926
Practice Address - Country:US
Practice Address - Phone:702-641-8500
Practice Address - Fax:702-641-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10028207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty