| Paul Nguyen Md Ltd | |
|
2031 Mcdaniel St Ste 230 N Las Vegas NV 89030-6309 | |
| (702) 405-9080 | |
| (702) 405-9240 |
| Full Name | Paul Nguyen Md Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2031 Mcdaniel St Ste 230, N Las Vegas, Nevada |
| Authorized Official Name and Position | Paul Nguyen (OWNER) |
| Authorized Official Contact | 7026850674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Nguyen Md Ltd Po Box 36830 Las Vegas NV 89133-6830 Ph: (702) 487-7055 | Paul Nguyen Md Ltd 2031 Mcdaniel St Ste 230 N Las Vegas NV 89030-6309 Ph: (702) 405-9080 |
| NPI Number | 1124406129 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 11/27/2017 |
| Medicare PECOS PAC ID | 8022329051 |
|---|---|
| Medicare Enrollment ID | O20150617002751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124406129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 12178 (Nevada) | Primary |
| Provider Name | Joshua A Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376795849 PECOS PAC ID: 7315094380 Enrollment ID: I20090408000316 |
| Provider Name | Paul A Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740497346 PECOS PAC ID: 8325283104 Enrollment ID: I20130327000230 |
| Provider Name | Jirair Maurice Baghdassarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760068365 PECOS PAC ID: 0345638995 Enrollment ID: I20211101001110 |
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