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Ashbouk Mohammed Kasim
Military Health Care Provider in Nellis Afb, Nevada
NPI 1447923008

Ashbouk Mohammed Kasim is a Military Health Care Provider based in Indian Orchard, NV. Ashbouk Mohammed Kasim practices in Nellis Afb, NV. The NPI Number for Ashbouk Mohammed Kasim is 1447923008 and holds a License No. P9516 (Nevada).

The current practice location address for Ashbouk Mohammed Kasim is 4700 Las Vegas Blvd N, Nellis Afb, NV and can be reached out via phone at 702-653-2273.

Location: 4700 Las Vegas Blvd N, Nellis Afb, NV, 01151-1943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447923008
Provider Name
Ashbouk Mohammed Kasim
Credential
Provider Entity Type
Individual
Gender
Male
Address
4700 Las Vegas Blvd N, Nellis Afb, NV, 01151-1943
Phone Number
702-653-2273
Fax Number
Provider Enumeration Date
07/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 Las Vegas Blvd N
City
Nellis Afb
State
Nevada
Zip
89191-6600
Phone Number
702-653-2273
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Las Vegas Blvd N
City
Nellis Afb
State
Nevada
Zip
89191-6600
Phone Number
702-653-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
P9516 (Idaho)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
P9516 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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