Aleksandr Krivonovskiy, MD | |
2716 N Tenaya Way Fl 5, Las Vegas, NV 89128-0424 | |
(702) 877-8600 | |
(702) 242-7944 |
Full Name | Aleksandr Krivonovskiy |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 2716 N Tenaya Way Fl 5, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386686566 | NPI | - | NPPES |
1386686566 | Medicaid | NV | |
APPLIED | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12329 (Nevada) | Secondary |
207Q00000X | Family Medicine | APPLIED (New York) | Secondary |
208M00000X | Hospitalist | 12329 (Nevada) | Primary |
Entity Name | Southwest Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102 |
Entity Name | Optum Medical Group Ii Rhodes P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770 |
Mailing Address | Practice Location Address |
---|---|
Aleksandr Krivonovskiy, MD Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Aleksandr Krivonovskiy, MD 2716 N Tenaya Way Fl 5, Las Vegas, NV 89128-0424 Ph: (702) 877-8600 |
Dr. Trent T Richardson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8280 W Warm Springs Rd, Las Vegas, NV 89113 Phone: 702-492-8592 Fax: 702-492-8045 | |
Dr. Vinod Korrapati, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2720 N Tenaya Way, Las Vegas, NV 89128 Phone: 419-865-3040 Fax: 702-560-2928 | |
Juan Esteban Rey Rueda, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3540 W Sahara Ave # 330, Las Vegas, NV 89102 Phone: 725-217-8555 Fax: 702-259-1252 | |
Dr. Raoul I Tamayo, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8253 Fax: 702-207-8256 | |
Shamoona Ahmed, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8253 Fax: 702-207-8256 | |
Ms. Ekaterine Asambadze, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8263 Fax: 702-207-8256 | |
Nicholas Kalayeh, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 4275 Burnham Ave, Ste 220, Las Vegas, NV 89119 Phone: 702-796-4278 Fax: 702-737-9286 |