Dr Shubhang N Mazumdar, MD | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | |
(702) 653-3800 | |
Not Available |
Full Name | Dr Shubhang N Mazumdar |
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Gender | Male |
Speciality | Internal Medicine |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003887183 | NPI | - | NPPES |
000266791B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 42826 (Arizona) | Secondary |
207R00000X | Internal Medicine | 19297 (Georgia) | Primary |
Entity Name | Wrightsboro Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912386038 PECOS PAC ID: 9638483761 Enrollment ID: O20150804003773 |
Mailing Address | Practice Location Address |
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Dr Shubhang N Mazumdar, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Ph: (702) 653-3800 | Dr Shubhang N Mazumdar, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Ph: (702) 653-3800 |
Dr. Aaron Joseph Wolbrueck, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Seth Joseph Vanderveer, DO, RHMSUS, CSCS Internal Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Aaron David Lewis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Derric A. Whiteside, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3128 | |
Jeremy P Kilburn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3257 | |
Dr. Robert Brown Woolley, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |