Dr Prem K Kittusamy, MD | |
401 N Buffalo Dr, Suite 100, Las Vegas, NV 89145-0310 | |
(702) 489-9000 | |
(702) 489-9001 |
Full Name | Dr Prem K Kittusamy |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 29 Years |
Location | 401 N Buffalo Dr, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568478840 | NPI | - | NPPES |
BM4472 | Other | NV | MEDICARE ID TYPE |
100503391 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MD069834L (Pennsylvania) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 10827 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kittusamy Llc | 8820171911 | 4 |
Entity Name | Kittusamy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972714970 PECOS PAC ID: 8820171911 Enrollment ID: O20080213000131 |
Mailing Address | Practice Location Address |
---|---|
Dr Prem K Kittusamy, MD 401 N Buffalo Dr Ste 100, Las Vegas, NV 89145-0397 Ph: (702) 489-9000 | Dr Prem K Kittusamy, MD 401 N Buffalo Dr, Suite 100, Las Vegas, NV 89145-0310 Ph: (702) 489-9000 |
Dr. Arshi A. Quadeer, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1581 Mount Mariah Dr Ste 150, Las Vegas, NV 89106 Phone: 702-851-7766 Fax: 702-851-7760 | |
Cherie Lin, D.O. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3006 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109 Phone: 702-369-5582 Fax: 702-369-1533 | |
Michael M Lee, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-921-6823 Fax: 702-549-5240 | |
Henry Palangdao Igid, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 653 N Town Center Dr Ste 402, Las Vegas, NV 89144 Phone: 702-243-7200 Fax: 702-243-7235 | |
Ian Adrian Fanoga Frani, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 702-383-3875 | |
Nisha Ajay Patel, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3540 W Sahara Ave # 330, Las Vegas, NV 89102 Phone: 803-729-0793 | |
Sein Tun, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4000 |