| Alpine Hospitalist Group Lllp | |
|
3061 S Maryland Pkwy Ste 104 Las Vegas NV 89109-6226 | |
| (024) 385-5557 | |
| (702) 438-6666 |
| Full Name | Alpine Hospitalist Group Lllp |
|---|---|
| Speciality | Family Medicine |
| Location | 3061 S Maryland Pkwy Ste 104, Las Vegas, Nevada |
| Authorized Official Name and Position | Alexander Akhavan (GENERAL PARTNER) |
| Authorized Official Contact | 7025615536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Hospitalist Group Lllp 3022 S Durango Dr Suite 100 Las Vegas NV 89117-4439 Ph: () - | Alpine Hospitalist Group Lllp 3061 S Maryland Pkwy Ste 104 Las Vegas NV 89109-6226 Ph: (024) 385-5557 |
| NPI Number | 1457783987 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 8022248293 |
|---|---|
| Medicare Enrollment ID | O20140310000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457783987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11478 (Nevada) | Primary |
| Provider Name | Alexander Foed Akhavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801898374 PECOS PAC ID: 3274562806 Enrollment ID: I20050804000439 |
| Provider Name | Lance D Mayor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023163011 PECOS PAC ID: 7517155393 Enrollment ID: I20101221000248 |
| Provider Name | Solomon Joshua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922502053 PECOS PAC ID: 6608131230 Enrollment ID: I20180531000299 |
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