| Gnaneswer Billakanti Md Pc | |
|
7627 Gossamer Wind St Las Vegas NV 89139-5306 | |
| (702) 964-1013 | |
| (702) 487-7113 |
| Full Name | Gnaneswer Billakanti Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7627 Gossamer Wind St, Las Vegas, Nevada |
| Authorized Official Name and Position | Gnaneswer Billakanti (OWNER) |
| Authorized Official Contact | 7029641013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gnaneswer Billakanti Md Pc 7627 Gossamer Wind St Las Vegas NV 89139-5306 Ph: (702) 964-1013 | Gnaneswer Billakanti Md Pc 7627 Gossamer Wind St Las Vegas NV 89139-5306 Ph: (702) 964-1013 |
| NPI Number | 1215470638 |
|---|---|
| Provider Enumeration Date | 12/03/2016 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 8224089305 |
|---|---|
| Medicare Enrollment ID | O20050207000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215470638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10043 (Nevada) | Primary |
| Provider Name | Gnaneswer Billakanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922180595 PECOS PAC ID: 3577532803 Enrollment ID: I20041001000986 |
| Provider Name | Ilir Manaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366983132 PECOS PAC ID: 1052681624 Enrollment ID: I20170714001991 |
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