| Amir Bacchus, M. D. Ltd | |
|
1701 N Green Valley Pkwy Henderson NV 89074-5885 | |
| (407) 316-3130 | |
| (407) 316-3001 |
| Full Name | Amir Bacchus, M. D. Ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 1701 N Green Valley Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Amir Bacchus (SOLE OWNER) |
| Authorized Official Contact | 4073163130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amir Bacchus, M. D. Ltd 801 N Magnolia Ave Suite 405 Orlando FL 32803-3851 Ph: (407) 316-3130 | Amir Bacchus, M. D. Ltd 1701 N Green Valley Pkwy Henderson NV 89074-5885 Ph: (407) 316-3130 |
| NPI Number | 1154495232 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154495232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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