| Generations Med Center Llc | |
|
8225 W Sahara Ave Ste C Las Vegas NV 89117-8929 | |
| (725) 251-6390 | |
| (725) 251-6712 |
| Full Name | Generations Med Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8225 W Sahara Ave Ste C, Las Vegas, Nevada |
| Authorized Official Name and Position | Jennie Inguanzo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7024762899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Med Center Llc 8225 W Sahara Ave Ste C Las Vegas NV 89117-8929 Ph: (702) 476-2899 | Generations Med Center Llc 8225 W Sahara Ave Ste C Las Vegas NV 89117-8929 Ph: (725) 251-6390 |
| NPI Number | 1063961027 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 3173895067 |
|---|---|
| Medicare Enrollment ID | O20170828003562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063961027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kaveh S Kashani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235343211 PECOS PAC ID: 4183761570 Enrollment ID: I20160721000215 |
| Provider Name | Dithra Ann Cotton-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487159182 PECOS PAC ID: 0749539161 Enrollment ID: I20180817002985 |
| Provider Name | Vitalina Adamchevska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083190789 PECOS PAC ID: 4082964440 Enrollment ID: I20180905001852 |
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