Provider Demographics
NPI:1982731238
Name:TOUSIF M PASHA MD LTD
Entity Type:Organization
Organization Name:TOUSIF M PASHA MD LTD
Other - Org Name:CENTER FOR COLON AND DIGESTIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOUSIF
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAHSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-921-6829
Mailing Address - Street 1:7150 SMOKE RANCH RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-8387
Mailing Address - Country:US
Mailing Address - Phone:702-948-9480
Mailing Address - Fax:702-921-6828
Practice Address - Street 1:7150 SMOKE RANCH RD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-8387
Practice Address - Country:US
Practice Address - Phone:702-948-9480
Practice Address - Fax:702-921-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018657Medicaid
NVF74549Medicare UPIN
NVV38377Medicare ID - Type Unspecified