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2839 Saint Rose Pkwy 130 Henderson NV 89052-4848 | |
| (702) 558-4027 | |
| (702) 921-9000 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 2839 Saint Rose Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Rajat Sood (PRESIDENT) |
| Authorized Official Contact | 7025584027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2839 Saint Rose Pkwy Ste 130 Henderson NV 89052-4849 Ph: (702) 558-4027 | 2839 Saint Rose Pkwy 130 Henderson NV 89052-4848 Ph: (702) 558-4027 |
| NPI Number | 1982772349 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 1850392705 |
|---|---|
| Medicare Enrollment ID | O20070122000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982772349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 8145 (Nevada) | Primary |
| Provider Name | Rajat Sood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962504126 PECOS PAC ID: 6901798875 Enrollment ID: I20061103000075 |
| Provider Name | Melanie A Datu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326630864 PECOS PAC ID: 6800290875 Enrollment ID: I20210812002990 |
| Provider Name | Reiko Kimberly Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972211050 PECOS PAC ID: 0143699199 Enrollment ID: I20221213002973 |
| Provider Name | Michele Anne Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346011640 PECOS PAC ID: 2860845443 Enrollment ID: I20240131000406 |
| Provider Name | Luzelle Kalacas Capalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235966177 PECOS PAC ID: 4284166471 Enrollment ID: I20241012000055 |
Siena Hills Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2789 Sunridge Heights Pkwy, Suite 100, Henderson, NV 89052 Phone: 702-614-0850 Fax: 702-614-0798 | |
The Doc's Primary Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-997-7600 | |
Mark Day, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 N Pecos Rd Ste A, Henderson, NV 89074 Phone: 702-456-9100 Fax: 702-434-7354 |