| Therapeutic Integrated Medical Care Inc | |
|
3111 S Maryland Pkwy Las Vegas NV 89109-2331 | |
| (702) 617-6313 | |
| Not Available |
| Full Name | Therapeutic Integrated Medical Care Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3111 S Maryland Pkwy, Las Vegas, Nevada |
| Authorized Official Name and Position | Roxana Valeton (PRESIDENT/OWNER) |
| Authorized Official Contact | 3053038108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Integrated Medical Care Inc Po Box 71526 Las Vegas NV 89170-1526 Ph: (702) 617-6313 | Therapeutic Integrated Medical Care Inc 3111 S Maryland Pkwy Las Vegas NV 89109-2331 Ph: (702) 617-6313 |
| NPI Number | 1770085755 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Medicare PECOS PAC ID | 4082977764 |
|---|---|
| Medicare Enrollment ID | O20180410002890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770085755 | NPI | - | NPPES |
| Provider Name | Asher Shahzad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457519332 PECOS PAC ID: 0941374565 Enrollment ID: I20110321000838 |
| Provider Name | Muhammad Hyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013085257 PECOS PAC ID: 7012957368 Enrollment ID: I20111102000430 |
| Provider Name | Mostafa Sheta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881761385 PECOS PAC ID: 9931205390 Enrollment ID: I20121129000583 |
| Provider Name | Lubia Oxhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689023954 PECOS PAC ID: 6507153863 Enrollment ID: I20160929002729 |
| Provider Name | Ivonne Draughon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861752701 PECOS PAC ID: 1153586540 Enrollment ID: I20170913003184 |
| Provider Name | Anneleisa G Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760723092 PECOS PAC ID: 5799040218 Enrollment ID: I20180601002219 |
| Provider Name | Mary Bridget Huntly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760952360 PECOS PAC ID: 6709980006 Enrollment ID: I20190821003801 |
| Provider Name | Oksana A Ligay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184235160 PECOS PAC ID: 0244643997 Enrollment ID: I20210119002290 |
| Provider Name | Nicholas Kalayeh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134335607 PECOS PAC ID: 2860583309 Enrollment ID: I20210303000476 |
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