| Neurology Clinics Of Nevada Llc | |
|
4275 Burnham Ave Ste 230 Las Vegas NV 89119-5400 | |
| (702) 956-0996 | |
| (702) 965-2216 |
| Full Name | Neurology Clinics Of Nevada Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4275 Burnham Ave Ste 230, Las Vegas, Nevada |
| Authorized Official Name and Position | Abdul Tariq (PHYSICIAN OWNER) |
| Authorized Official Contact | 7029560996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Clinics Of Nevada Llc 390 Otsego Ct Henderson NV 89012-4862 Ph: () - | Neurology Clinics Of Nevada Llc 4275 Burnham Ave Ste 230 Las Vegas NV 89119-5400 Ph: (702) 956-0996 |
| NPI Number | 1487139499 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 05/14/2020 |
| Certification Date | 05/14/2020 |
| Medicare PECOS PAC ID | 4688919053 |
|---|---|
| Medicare Enrollment ID | O20181213001668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487139499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Christopher M Milford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801843396 PECOS PAC ID: 8123000684 Enrollment ID: I20040607001130 |
| Provider Name | Abdul Tariq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669883534 PECOS PAC ID: 1951620483 Enrollment ID: I20180621000976 |
| Provider Name | Kristine Jennifer Andres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992360598 PECOS PAC ID: 8224362892 Enrollment ID: I20190702000787 |
| Provider Name | Hana Swartzentruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891393567 PECOS PAC ID: 2567879554 Enrollment ID: I20210317002839 |
| Provider Name | Lena L Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205470911 PECOS PAC ID: 6305269390 Enrollment ID: I20211005001591 |
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