Basic Information
| Provider Information | |||||||||
| NPI: | 1437485109 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HORIZON INTERNAL MEDICINE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9811 W CHARLESTON BLVD | ||||||||
| Address2: | SUITE 2-868 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891177528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023881300 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9811 W CHARLESTON BLVD | ||||||||
| Address2: | SUITE 2-868 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891177528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023881300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2009 | ||||||||
| LastUpdateDate: | 03/11/2013 | ||||||||
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| AuthorizedOfficialLastName: | PATEL | ||||||||
| AuthorizedOfficialFirstName: | SANKET | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7028761483 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 11973 | NV | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.