| Emmanuel K Onwutuebe A Professional Corporation | |
|
6970 W. Patrick Lane Suite 140 Las Vegas NV 89113-0270 | |
| (702) 450-1717 | |
| (702) 947-6740 |
| Full Name | Emmanuel K Onwutuebe A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 6970 W. Patrick Lane, Las Vegas, Nevada |
| Authorized Official Name and Position | Emmanuel K Onwutuebe (MEDICAL DOCTOR) |
| Authorized Official Contact | 7029093300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel K Onwutuebe A Professional Corporation 6970 W. Patrick Lane Suite 140 Las Vegas NV 89113-0270 Ph: (702) 450-1717 | Emmanuel K Onwutuebe A Professional Corporation 6970 W. Patrick Lane Suite 140 Las Vegas NV 89113-0270 Ph: (702) 450-1717 |
| NPI Number | 1467518829 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 12/17/2019 |
| Medicare PECOS PAC ID | 4789787441 |
|---|---|
| Medicare Enrollment ID | O20070319000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467518829 | NPI | - | NPPES |
| 002018728 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10254 (Nevada) | Primary |
| Provider Name | Emmanuel K Onwutuebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447224431 PECOS PAC ID: 7113020397 Enrollment ID: I20070308000136 |
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