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6410 Medical Center St Ste A100 Las Vegas NV 89148 | |
| (702) 796-8500 | |
| (702) 796-8502 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6410 Medical Center St Ste A100, Las Vegas, Nevada |
| Authorized Official Name and Position | Christina White (BILLING MANAGER) |
| Authorized Official Contact | 7027968500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6410 Medical Center St Ste A100 Las Vegas NV 89148-2445 Ph: (702) 796-8500 | 6410 Medical Center St Ste A100 Las Vegas NV 89148 Ph: (702) 796-8500 |
| NPI Number | 1104861277 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 03/13/2019 |
| Medicare PECOS PAC ID | 7719911296 |
|---|---|
| Medicare Enrollment ID | O20050923000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104861277 | NPI | - | NPPES |
| 002018127 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 8963 (Nevada) | Primary |
| Provider Name | Gobinder S Chopra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013964626 PECOS PAC ID: 0345273025 Enrollment ID: I20050913001295 |
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