| Chamian Medical Group Pllc | |
|
7325 S Pecos Rd Suite 102 Las Vegas NV 89120-3768 | |
| (702) 982-6402 | |
| (702) 202-0674 |
| Full Name | Chamian Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7325 S Pecos Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Noel M Chamian (PRESIDENT) |
| Authorized Official Contact | 7029826402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chamian Medical Group Pllc 7325 S Pecos Rd Suite 102 Las Vegas NV 89120-3768 Ph: (702) 982-6402 | Chamian Medical Group Pllc 7325 S Pecos Rd Suite 102 Las Vegas NV 89120-3768 Ph: (702) 982-6402 |
| NPI Number | 1629356274 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 07/08/2019 |
| Medicare PECOS PAC ID | 0941473177 |
|---|---|
| Medicare Enrollment ID | O20111102000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629356274 | NPI | - | NPPES |
| 1376533059 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12358 (Nevada) | Primary |
| Provider Name | Noel Munar Chamian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376533059 PECOS PAC ID: 9436123122 Enrollment ID: I20070726000441 |
| Provider Name | Ma Francesca Chamian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902088503 PECOS PAC ID: 8426135971 Enrollment ID: I20080408000332 |
| Provider Name | Jasmina Santos Fornbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164901245 PECOS PAC ID: 1355694746 Enrollment ID: I20190405000725 |
| Provider Name | Kelsey Nicole Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972238376 PECOS PAC ID: 3476937855 Enrollment ID: I20220902001317 |
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