| Alicore Healthcare Llc | |
|
3630 N Rancho Dr Ste 108 Las Vegas NV 89130-3111 | |
| (702) 278-1673 | |
| Not Available |
| Full Name | Alicore Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3630 N Rancho Dr Ste 108, Las Vegas, Nevada |
| Authorized Official Name and Position | Ahmed Ali (MD/PRESIDENT) |
| Authorized Official Contact | 7022781673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicore Healthcare Llc 6720 N Hulapai Way Ste 145 Box 230 Las Vegas NV 89149 Ph: (702) 278-1673 | Alicore Healthcare Llc 3630 N Rancho Dr Ste 108 Las Vegas NV 89130-3111 Ph: (702) 278-1673 |
| NPI Number | 1154078327 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Medicare PECOS PAC ID | 1759778020 |
|---|---|
| Medicare Enrollment ID | O20220505000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154078327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmed S Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700247657 PECOS PAC ID: 1759676414 Enrollment ID: I20191024001382 |
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