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Contact Information

LT PROACTIVE CARE CLINIC NEVADA - FARBAKHSH PLLC
121 CARNEGIE ST
HENDERSON, NV89074-7118
 Phone: 702-802-7357
 Fax: 702-802-7356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Body Imaging

2085B0100X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LT PROACTIVE CARE CLINIC NEVADA - FARBAKHSH PLLC

NPI Number 1982061750
LBN Legal business name LT PROACTIVE CARE CLINIC NEVADA - FARBAKHSH PLLC
Authorized official KAMBIZ FARBAKHSH - (OWNER/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2016
Last updated 02/15/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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