| Clinical Infectious Disease Specialists | |
|
2435 Fire Mesa St Suite 120 Las Vegas NV 89128-9009 | |
| (702) 487-7055 | |
| Not Available |
| Full Name | Clinical Infectious Disease Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 2435 Fire Mesa St, Las Vegas, Nevada |
| Authorized Official Name and Position | Page Mccalister (ADMINISTRATOR) |
| Authorized Official Contact | 7252003232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Infectious Disease Specialists 2435 Fire Mesa St Ste. 120 Las Vegas NV 89128-9009 Ph: (702) 968-2437 | Clinical Infectious Disease Specialists 2435 Fire Mesa St Suite 120 Las Vegas NV 89128-9009 Ph: (702) 487-7055 |
| NPI Number | 1538393053 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 06/10/2020 |
| Medicare PECOS PAC ID | 8325193584 |
|---|---|
| Medicare Enrollment ID | O20090911000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538393053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Mandip S Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902984131 PECOS PAC ID: 9133155898 Enrollment ID: I20050721000704 |
| Provider Name | Asher Shahzad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457519332 PECOS PAC ID: 0941374565 Enrollment ID: I20110321000838 |
| Provider Name | Maria Diane Habbi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770991713 PECOS PAC ID: 6507156494 Enrollment ID: I20171106002257 |
| Provider Name | Tienchai Narach |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700036431 PECOS PAC ID: 2860648250 Enrollment ID: I20171211002959 |
| Provider Name | Taeyong Sim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417396003 PECOS PAC ID: 7416249487 Enrollment ID: I20180621002117 |
| Provider Name | Shaker Itani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538193826 PECOS PAC ID: 4981590858 Enrollment ID: I20200309001249 |
| Provider Name | Amber L Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192375 PECOS PAC ID: 7416255716 Enrollment ID: I20200828000812 |
| Provider Name | John Isaiah Oreilly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356579155 PECOS PAC ID: 0749612794 Enrollment ID: I20210927001356 |
| Provider Name | Angeline Prabhu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245645878 PECOS PAC ID: 7618196155 Enrollment ID: I20220421002144 |
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