Omar B Cabahug Md Prof Corp | |
2500 Wigwam Pkwy Suite 112 Henderson NV 89074-7112 | |
(702) 914-6994 | |
(702) 914-5880 |
Full Name | Omar B Cabahug Md Prof Corp |
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Speciality | Psychiatry & Neurology |
Location | 2500 Wigwam Pkwy, Henderson, Nevada |
Authorized Official Name and Position | Omar B Cabahug (PRESIDENT) |
Authorized Official Contact | 7029146994 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omar B Cabahug Md Prof Corp 2500 Wigwam Pkwy Suite 112 Henderson NV 89074-7112 Ph: (702) 914-6994 | Omar B Cabahug Md Prof Corp 2500 Wigwam Pkwy Suite 112 Henderson NV 89074-7112 Ph: (702) 914-6994 |
NPI Number | 1467638668 |
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Provider Enumeration Date | 01/17/2008 |
Last Update Date | 11/12/2020 |
Certification Date | 11/12/2020 |
Medicare PECOS PAC ID | 7315926391 |
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Medicare Enrollment ID | O20040714000820 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467638668 | NPI | - | NPPES |
002018299 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
Provider Name | Omar Baring Cabahug |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1891895488 PECOS PAC ID: 4587858832 Enrollment ID: I20101030000187 |
Provider Name | Katrina Montes Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154989358 PECOS PAC ID: 6406182542 Enrollment ID: I20190726000155 |
Provider Name | Lloyzel Faye Yung |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346990918 PECOS PAC ID: 2668844457 Enrollment ID: I20230203000871 |
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