| Aim Healthcare Providers Nv, Pc | |
|
777 N Rainbow Blvd Ste 350 Las Vegas NV 89107-1188 | |
| (480) 494-2465 | |
| Not Available |
| Full Name | Aim Healthcare Providers Nv, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 777 N Rainbow Blvd Ste 350, Las Vegas, Nevada |
| Authorized Official Name and Position | Kelly Karaniuk (CREDENTIAL DIRECTOR) |
| Authorized Official Contact | 4804476841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim Healthcare Providers Nv, Pc 161 E Rivulon Blvd Ste 210 Gilbert AZ 85297-0087 Ph: (480) 494-2465 | Aim Healthcare Providers Nv, Pc 777 N Rainbow Blvd Ste 350 Las Vegas NV 89107-1188 Ph: (480) 494-2465 |
| NPI Number | 1275233215 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 4486017100 |
|---|---|
| Medicare Enrollment ID | O20230829002064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275233215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Praveen Jayakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235337486 PECOS PAC ID: 0648495150 Enrollment ID: I20140625001072 |
| Provider Name | Stephanie Sun Koh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376177691 PECOS PAC ID: 9032548359 Enrollment ID: I20200407001618 |
| Provider Name | Debbie L Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710575162 PECOS PAC ID: 2668886060 Enrollment ID: I20210126002193 |
| Provider Name | Marijune Claudette Salomon Marapao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740998863 PECOS PAC ID: 5496767923 Enrollment ID: I20230505001260 |
| Provider Name | Amish Purohit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053413286 PECOS PAC ID: 1355347170 Enrollment ID: I20240208004505 |
| Provider Name | Tanya Janette Sibrava |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1225230071 PECOS PAC ID: 3476654633 Enrollment ID: I20240219003243 |
| Provider Name | Heather White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275818957 PECOS PAC ID: 8729252986 Enrollment ID: I20240229004396 |
| Provider Name | Jessica Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740435353 PECOS PAC ID: 9234294646 Enrollment ID: I20240304002755 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20240305003780 |
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