| Frontline Medical Group Llc | |
|
3150 N Tenaya Way Ste 400 Las Vegas NV 89128-0463 | |
| (702) 233-6661 | |
| (702) 233-3055 |
| Full Name | Frontline Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3150 N Tenaya Way Ste 400, Las Vegas, Nevada |
| Authorized Official Name and Position | Sassan Kaveh (PRESIDENT) |
| Authorized Official Contact | 7022336661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontline Medical Group Llc Po Box 34478 Las Vegas NV 89128 Ph: (702) 233-6661 | Frontline Medical Group Llc 3150 N Tenaya Way Ste 400 Las Vegas NV 89128-0463 Ph: (702) 233-6661 |
| NPI Number | 1144557836 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 09/23/2022 |
| Medicare PECOS PAC ID | 1355618299 |
|---|---|
| Medicare Enrollment ID | O20170525001653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144557836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8320 (Nevada) | Primary |
| Provider Name | Sassan Kaveh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851385447 PECOS PAC ID: 9133134604 Enrollment ID: I20060221000143 |
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