| Golden Victory Medical Internal Medicine | |
|
2870 S Maryland Pkwy Ste 200 Las Vegas NV 89109-1580 | |
| (702) 703-1950 | |
| Not Available |
| Full Name | Golden Victory Medical Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2870 S Maryland Pkwy Ste 200, Las Vegas, Nevada |
| Authorized Official Name and Position | Elizabeth Brown (APRN/OWNER) |
| Authorized Official Contact | 9529237256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Victory Medical Internal Medicine 2870 S Maryland Pkwy Ste 200 Las Vegas NV 89109-1580 Ph: (702) 703-1950 | Golden Victory Medical Internal Medicine 2870 S Maryland Pkwy Ste 200 Las Vegas NV 89109-1580 Ph: (702) 703-1950 |
| NPI Number | 1447984976 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 4587031505 |
|---|---|
| Medicare Enrollment ID | O20221104000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447984976 | NPI | - | NPPES |
| Provider Name | Friday O Irorobeje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902217656 PECOS PAC ID: 2769786599 Enrollment ID: I20160215001717 |
| Provider Name | Shirley Bigcas Moorjani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952844664 PECOS PAC ID: 2365726239 Enrollment ID: I20170222000438 |
| Provider Name | Jennifer Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437801651 PECOS PAC ID: 2365837382 Enrollment ID: I20220309002119 |
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