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
Phone: (702) 228-7117
Fax: (702) 804-5365
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083604102 | NPPES |
| Nevada | Other | 10235 | STATE LICENSE |
| Nevada | MEDICAID | 1083604102 | STATE LICENSE |
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