| Green Valley Primary Care | |
|
8490 S Eastern Ave Ste B1 Las Vegas NV 89123-2806 | |
| (702) 269-0204 | |
| (702) 269-0212 |
| Full Name | Green Valley Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 8490 S Eastern Ave Ste B1, Las Vegas, Nevada |
| Authorized Official Name and Position | Seema Sood (PRESIDENT) |
| Authorized Official Contact | 7022690204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Primary Care 8440 S Eastern Ave Suite A Las Vegas NV 89123-2856 Ph: (702) 269-0204 | Green Valley Primary Care 8490 S Eastern Ave Ste B1 Las Vegas NV 89123-2806 Ph: (702) 269-0204 |
| NPI Number | 1356520027 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 0840278297 |
|---|---|
| Medicare Enrollment ID | O20040712000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356520027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8150 (Nevada) | Primary |
| Provider Name | Seema B Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386669117 PECOS PAC ID: 9739167198 Enrollment ID: I20120202000086 |
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