Stroke And Neurology Specialists | |
2863 Saint Rose Pkwy Henderson NV 89052-4806 | |
(702) 790-1521 | |
(702) 946-1439 |
Full Name | Stroke And Neurology Specialists |
---|---|
Speciality | Psychiatry & Neurology |
Location | 2863 Saint Rose Pkwy, Henderson, Nevada |
Authorized Official Name and Position | Tamer Ammar (PRESIDENT/OWNER) |
Authorized Official Contact | 7027901521 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stroke And Neurology Specialists 2863 Saint Rose Pkwy Henderson NV 89052-4806 Ph: (702) 790-1521 | Stroke And Neurology Specialists 2863 Saint Rose Pkwy Henderson NV 89052-4806 Ph: (702) 790-1521 |
NPI Number | 1205375565 |
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Provider Enumeration Date | 02/20/2017 |
Last Update Date | 01/03/2024 |
Certification Date | 01/03/2024 |
Medicare PECOS PAC ID | 6204107840 |
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Medicare Enrollment ID | O20170801000896 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205375565 | NPI | - | NPPES |
14044 | Other | NV | NEVADA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 14044 (Nevada) | Secondary |
2084V0102X | Psychiatry & Neurology - Vascular Neurology | 14044 (Nevada) | Primary |
Provider Name | Tamer Ammar |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1780846303 PECOS PAC ID: 1456507425 Enrollment ID: I20120807000239 |
Provider Name | Mara Costa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689227100 PECOS PAC ID: 1850623919 Enrollment ID: I20200421000570 |
Provider Name | Supriya Kairamkonda |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1770038069 PECOS PAC ID: 6800213786 Enrollment ID: I20230905001784 |
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