| Dr. Kazarian Professional Medical Corp | |
|
4735 S Durango Dr Ste 101 Las Vegas NV 89147-8164 | |
| (725) 735-7338 | |
| (725) 735-7338 |
| Full Name | Dr. Kazarian Professional Medical Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 4735 S Durango Dr Ste 101, Las Vegas, Nevada |
| Authorized Official Name and Position | Vahe Kazarian (OWNER) |
| Authorized Official Contact | 8186323502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kazarian Professional Medical Corp 4735 S Durango Dr Ste 101 Las Vegas NV 89147-8164 Ph: (725) 735-7338 | Dr. Kazarian Professional Medical Corp 4735 S Durango Dr Ste 101 Las Vegas NV 89147-8164 Ph: (725) 735-7338 |
| NPI Number | 1699222851 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 08/23/2024 |
| Medicare PECOS PAC ID | 1557641297 |
|---|---|
| Medicare Enrollment ID | O20161214002600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699222851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | A104760 (California) | Primary |
| Provider Name | Vahe Kazarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477711661 PECOS PAC ID: 8426185125 Enrollment ID: I20161215000683 |
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