| Dr Farooq Abdulla, MD | |
|
1430 E Calvada Blvd Ste 200, Pahrump, NV 89048-5852 | |
| (775) 751-4600 | |
| (775) 751-2094 |
| Full Name | Dr Farooq Abdulla |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1430 E Calvada Blvd Ste 200, Pahrump, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497732093 | NPI | - | NPPES |
| 1497732093 | Medicaid | NV | |
| 2002028 | Medicaid | NV | |
| 6413 | Other | NV | NV STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 6413 (Nevada) | Secondary |
| 208000000X | Pediatrics | 6413 (Nevada) | Primary |
| Entity Name | University Medical Center Of Southern Nevada |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548393127 PECOS PAC ID: 7315934429 Enrollment ID: O20040429001053 |
| Entity Name | Healthcare Partners Medical Group Coats Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Farooq Abdulla, MD Po Box 98978, Las Vegas, NV 89193-8978 Ph: (702) 216-3346 | Dr Farooq Abdulla, MD 1430 E Calvada Blvd Ste 200, Pahrump, NV 89048-5852 Ph: (775) 751-4600 |
Dr. Estela Oliva Racoma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2620 Acoma Ave, Pahrump, NV 89048 Phone: 775-751-0754 Fax: 775-751-0405 | |
Karen Swarts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 E Calvada Blvd Ste 200, Pahrump, NV 89048 Phone: 775-505-1214 |