| Comprehensive Digestive Institute Of Nevada | |
|
8530 W. Sunset Rd Suite 230 Las Vegas NV 89113 | |
| (702) 483-4483 | |
| Not Available |
| Full Name | Comprehensive Digestive Institute Of Nevada |
|---|---|
| Speciality | Internal Medicine |
| Location | 8530 W. Sunset Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Gary Chen (MANAGING PARTNER) |
| Authorized Official Contact | 7024834483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Digestive Institute Of Nevada 8530 W. Sunset Road Suite 230 Las Vegas NV 89113 Ph: (702) 483-4483 | Comprehensive Digestive Institute Of Nevada 8530 W. Sunset Rd Suite 230 Las Vegas NV 89113 Ph: (702) 483-4483 |
| NPI Number | 1881078418 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 04/17/2017 |
| Medicare PECOS PAC ID | 3971813379 |
|---|---|
| Medicare Enrollment ID | O20151116001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881078418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Andrew I Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790968816 PECOS PAC ID: 0749327625 Enrollment ID: I20091026000432 |
| Provider Name | Christian Stone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750308284 PECOS PAC ID: 4587704788 Enrollment ID: I20091219000071 |
| Provider Name | Tarek Ammar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649478314 PECOS PAC ID: 3971653189 Enrollment ID: I20101021000209 |
| Provider Name | Brody J Winn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467679399 PECOS PAC ID: 9436344074 Enrollment ID: I20101109001204 |
| Provider Name | Noel Sicat Yumiaco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952362949 PECOS PAC ID: 3870676208 Enrollment ID: I20101115000162 |
| Provider Name | Gary C Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720200132 PECOS PAC ID: 1456531615 Enrollment ID: I20110207000174 |
| Provider Name | John K Ryan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073695698 PECOS PAC ID: 1052415841 Enrollment ID: I20111031000036 |
| Provider Name | Vijay Jayaraman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811195092 PECOS PAC ID: 7719072735 Enrollment ID: I20130719000032 |
| Provider Name | Kevin L Golden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982804340 PECOS PAC ID: 9436397718 Enrollment ID: I20130823000980 |
| Provider Name | Mirela Popovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720403447 PECOS PAC ID: 7719101955 Enrollment ID: I20140610001156 |
| Provider Name | Jackie L Armijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851465934 PECOS PAC ID: 9638273485 Enrollment ID: I20141120002240 |
| Provider Name | Muthena A Maklad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609118959 PECOS PAC ID: 6901028323 Enrollment ID: I20160902001786 |
| Provider Name | David Shih |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992895601 PECOS PAC ID: 3678583523 Enrollment ID: I20170313002092 |
| Provider Name | Syed Abdul Basit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942509492 PECOS PAC ID: 4789906017 Enrollment ID: I20170323001015 |
| Provider Name | Gayatri Vengayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386030484 PECOS PAC ID: 0345535811 Enrollment ID: I20190312001701 |
| Provider Name | Matthew Glover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477949675 PECOS PAC ID: 2668886805 Enrollment ID: I20210128002121 |
| Provider Name | Yingmei Np Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831973692 PECOS PAC ID: 9032565312 Enrollment ID: I20231023001714 |
| Provider Name | James J Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659803146 PECOS PAC ID: 1951672872 Enrollment ID: I20231030003823 |
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