Dina S Burke Md Llc | |
7455 W Washington Ave Ste 422 Las Vegas NV 89128-4347 | |
(702) 272-2724 | |
(702) 445-6977 |
Full Name | Dina S Burke Md Llc |
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Speciality | Internal Medicine |
Location | 7455 W Washington Ave Ste 422, Las Vegas, Nevada |
Authorized Official Name and Position | Dina S Burke (MEDICAL DOCTOR) |
Authorized Official Contact | 7022722724 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dina S Burke Md Llc 7455 W Washington Ave Ste 422 Las Vegas NV 89128-4347 Ph: (702) 272-2724 | Dina S Burke Md Llc 7455 W Washington Ave Ste 422 Las Vegas NV 89128-4347 Ph: (702) 272-2724 |
NPI Number | 1457868317 |
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Provider Enumeration Date | 01/02/2018 |
Last Update Date | 04/22/2021 |
Medicare PECOS PAC ID | 5799045449 |
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Medicare Enrollment ID | O20180129001557 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457868317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7511 (Nevada) | Primary |
Provider Name | Dina S Burke |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356314314 PECOS PAC ID: 3577552041 Enrollment ID: I20040524001345 |
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