Axis Psychiatry | |
5536 S Fort Apache Rd Ste 102 Las Vegas NV 89148-7687 | |
(702) 915-7001 | |
(702) 909-9254 |
Full Name | Axis Psychiatry |
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Speciality | Psychiatry & Neurology |
Location | 5536 S Fort Apache Rd Ste 102, Las Vegas, Nevada |
Authorized Official Name and Position | Uzma Zafar (PRESIDENT) |
Authorized Official Contact | 7023011115 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Axis Psychiatry 11035 Lavender Hill Dr Ste 160-441 Las Vegas NV 89135-2955 Ph: (702) 915-7001 | Axis Psychiatry 5536 S Fort Apache Rd Ste 102 Las Vegas NV 89148-7687 Ph: (702) 915-7001 |
NPI Number | 1598915795 |
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Provider Enumeration Date | 09/24/2008 |
Last Update Date | 06/16/2022 |
Certification Date | 06/16/2022 |
Medicare PECOS PAC ID | 3476605536 |
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Medicare Enrollment ID | O20090721000249 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598915795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 12838 (Nevada) | Primary |
Provider Name | Uzma Zafar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770556185 PECOS PAC ID: 3274547153 Enrollment ID: I20090721000231 |
Provider Name | Jacinta F Cruz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588908628 PECOS PAC ID: 6406091073 Enrollment ID: I20130402000398 |
Provider Name | Hisbay H Ali |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306127311 PECOS PAC ID: 0446524565 Enrollment ID: I20210716002733 |
Provider Name | Ryan Scott Ratheal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366183063 PECOS PAC ID: 8123406063 Enrollment ID: I20220603002399 |
Provider Name | Jezryl Np Celiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801598610 PECOS PAC ID: 1355701392 Enrollment ID: I20230721001618 |
Provider Name | Joy Elaine Dukes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437334273 PECOS PAC ID: 0446605950 Enrollment ID: I20231018000598 |
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