|
| |
|
4472 S Eastern Ave Las Vegas NV 89119-7825 | |
| (702) 844-6333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 4472 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Babak Hooshmand (OWNER) |
| Authorized Official Contact | 7257052739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 530815 Henderson NV 89053-0815 Ph: (702) 487-7055 | 4472 S Eastern Ave Las Vegas NV 89119-7825 Ph: (702) 844-6333 |
| NPI Number | 1588120240 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 9830439330 |
|---|---|
| Medicare Enrollment ID | O20190320000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588120240 | NPI | - | NPPES |
| 1023380086 | Other | NV | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Babak Hooshmand |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023380086 PECOS PAC ID: 3476787458 Enrollment ID: I20131007000000 |
| Provider Name | Li-chien Chen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528492949 PECOS PAC ID: 8921235466 Enrollment ID: I20180823000833 |
| Provider Name | Leilani P Gador-marcelino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790335131 PECOS PAC ID: 9335577972 Enrollment ID: I20200314000245 |
| Provider Name | Ricardo Asuncion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336782036 PECOS PAC ID: 6901236496 Enrollment ID: I20200424000262 |
| Provider Name | John Isaiah Oreilly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356579155 PECOS PAC ID: 0749612794 Enrollment ID: I20210927001356 |
| Provider Name | Dima Youssef |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891189148 PECOS PAC ID: 4082929104 Enrollment ID: I20220913001044 |
| Provider Name | Mary Katherine Holstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164196986 PECOS PAC ID: 9032580444 Enrollment ID: I20230123001896 |
| Provider Name | Lea J Diola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073115614 PECOS PAC ID: 6305217530 Enrollment ID: I20230125002032 |
Medical Group At Sun City, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-240-8155 Fax: 702-240-8161 | |
Viren B Patel Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Smoke Ranch Rd, Suite 120, Las Vegas, NV 89128 Phone: 702-477-7044 Fax: 702-259-4843 | |
Shari Klein Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8571 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128 Phone: 702-545-0283 Fax: 702-545-0285 | |
Ardeshir Rohani Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3824 S Jones Blvd Ste A, Las Vegas, NV 89103 Phone: 702-463-3000 Fax: 702-463-3000 | |
Mai Health And Beauty Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 W Charleston Blvd, Ste. B, Las Vegas, NV 89146 Phone: 702-480-2044 | |
Rebecca Garcia Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183 Phone: 435-896-7944 | |
Bedrock Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2235 E Flamingo Rd Ste 144, Las Vegas, NV 89119 Phone: 702-272-9500 |