| Shanker Dixit, Md Pc | |
|
2480 Professional Court Las Vegas NV 89128 | |
| (702) 405-3015 | |
| (702) 405-3017 |
| Full Name | Shanker Dixit, Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2480 Professional Court, Las Vegas, Nevada |
| Authorized Official Name and Position | Rosa Gonzalez (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7024053015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanker Dixit, Md Pc 2480 Professional Court Las Vegas NV 89128 Ph: (702) 405-3015 | Shanker Dixit, Md Pc 2480 Professional Court Las Vegas NV 89128 Ph: (702) 405-3015 |
| NPI Number | 1518151737 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Medicare PECOS PAC ID | 0143315721 |
|---|---|
| Medicare Enrollment ID | O20070927000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518151737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 9739 (Nevada) | Primary |
| Provider Name | Shanker N Dixit |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477558674 PECOS PAC ID: 2668444886 Enrollment ID: I20050531000166 |
| 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 | Charles Edward Kamen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033408679 PECOS PAC ID: 8022370865 Enrollment ID: I20200708000750 |
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