| Malone-davis Neurology Pllc | |
|
7730 W Cheyenne Ave Ste 107 Las Vegas NV 89129-8412 | |
| (725) 221-1568 | |
| (725) 333-9218 |
| Full Name | Malone-davis Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7730 W Cheyenne Ave Ste 107, Las Vegas, Nevada |
| Authorized Official Name and Position | Toya Malone-davis (OFFICER) |
| Authorized Official Contact | 7252211568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malone-davis Neurology Pllc 7730 W Cheyenne Ave Ste 107 Las Vegas NV 89129-8412 Ph: (725) 221-1568 | Malone-davis Neurology Pllc 7730 W Cheyenne Ave Ste 107 Las Vegas NV 89129-8412 Ph: (725) 221-1568 |
| NPI Number | 1932622750 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 4880968734 |
|---|---|
| Medicare Enrollment ID | O20170916000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932622750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 16583 (Nevada) | Primary |
| Provider Name | Mehdi Ansarinia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033233481 PECOS PAC ID: 5890958797 Enrollment ID: I20120511000213 |
| Provider Name | Teodoro Agtay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407263106 PECOS PAC ID: 9436474780 Enrollment ID: I20150210000005 |
| Provider Name | Toya Venetta Malone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720297799 PECOS PAC ID: 1052580859 Enrollment ID: I20160919000524 |
| Provider Name | Babylyn Buena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386188993 PECOS PAC ID: 4688609506 Enrollment ID: I20170411001188 |
| Provider Name | Anuradha Thirumalai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217534 PECOS PAC ID: 6507126042 Enrollment ID: I20180201001561 |
| Provider Name | Eleanor D Quizeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346606043 PECOS PAC ID: 1355623166 Enrollment ID: I20180222002845 |
| Provider Name | Eileen Pablo Justo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689230500 PECOS PAC ID: 8224365663 Enrollment ID: I20190808001091 |
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