Illindala, Hima B.

Illindala, Hima B. is an individual health care provider with primary practice located at 2035 Village Center Cir Suite 110, Las Vegas NV 89134-6251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Illindala, Hima B. can be contacted via phone (702) 228-7117.

Contact Information

Primary practice address
2035 Village Center Cir Suite 110 Las Vegas NV 89134-6251
Fax: (702) 804-5365
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10235 Nevada

Profile Details

NPI number 1083604102
LBN Legal business name Illindala, Hima B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Oct 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083604102 NPPES
Nevada Other 10235 STATE LICENSE
Nevada MEDICAID 1083604102 STATE LICENSE

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