| Desert Teleheart Inc | |
|
12384 Middle Creek St Las Vegas NV 89138 | |
| (702) 960-0333 | |
| Not Available |
| Full Name | Desert Teleheart Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12384 Middle Creek St, Las Vegas, Nevada |
| Authorized Official Name and Position | Christopher Igtiben (MD/PARTNER) |
| Authorized Official Contact | 8502400456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Teleheart Inc 8635 W Sahara Ave Las Vegas NV 89117-5858 Ph: (702) 960-0333 | Desert Teleheart Inc 12384 Middle Creek St Las Vegas NV 89138 Ph: (702) 960-0333 |
| NPI Number | 1578162848 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Medicare PECOS PAC ID | 6608276894 |
|---|---|
| Medicare Enrollment ID | O20210609001847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578162848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher Igtiben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194085308 PECOS PAC ID: 8224250295 Enrollment ID: I20150807014106 |
| Provider Name | Joseph Ayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710320593 PECOS PAC ID: 8820395015 Enrollment ID: I20160823000126 |
| Provider Name | Parvine Rustamova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730506882 PECOS PAC ID: 8426272998 Enrollment ID: I20170823000882 |
| Provider Name | Swetal D Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205253382 PECOS PAC ID: 6901021294 Enrollment ID: I20181015002498 |
| Provider Name | Chanukya Rama Dahagam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003103953 PECOS PAC ID: 5991001091 Enrollment ID: I20190819001815 |
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