Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Individualized Internal Medicine

Organization Internal Medicine Physician · NPI 1194120253

Individualized Internal Medicine is an Internal Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2014.

Licensed in
NV
In the registry since
2014

Practice location Address checks out

8463 W Lake Mead Blvd
Las Vegas, NV 89128-7638
Phone: (702) 304-0854
Fax: (702) 256-2821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 8025 (NV)

Record details

NPI number1194120253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shamini Panikkar — Owner & Provider · (702) 304-0854
NPI enumeratedOctober 30, 2014
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address8463 W Lake Mead Blvd, Las Vegas, NV 89128-7638

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