| Bhushan Manjooran Wirjo & Associates Pllc | |
|
3100 N Tenaya Way Las Vegas NV 89128-0436 | |
| (702) 417-4091 | |
| (702) 527-7545 |
| Full Name | Bhushan Manjooran Wirjo & Associates Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3100 N Tenaya Way, Las Vegas, Nevada |
| Authorized Official Name and Position | Jonathan Wirjo (MANAGER) |
| Authorized Official Contact | 7024174091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhushan Manjooran Wirjo & Associates Pllc Po Box 371598 Las Vegas NV 89137-1598 Ph: (702) 417-4091 | Bhushan Manjooran Wirjo & Associates Pllc 3100 N Tenaya Way Las Vegas NV 89128-0436 Ph: (702) 417-4091 |
| NPI Number | 1821341363 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821341363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DO1716 (Nevada) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 12371 (Nevada) | Secondary |
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