Health Time Primary Clinic Llc | |
8820 Rozetta Ct Las Vegas NV 89134-6179 | |
(714) 815-2380 | |
Not Available |
Full Name | Health Time Primary Clinic Llc |
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Speciality | Internal Medicine |
Location | 8820 Rozetta Ct, Las Vegas, Nevada |
Authorized Official Name and Position | Shamoona Ahmed (OWNER) |
Authorized Official Contact | 7148152380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Time Primary Clinic Llc Po Box 371574 Las Vegas NV 89137-1574 Ph: () - | Health Time Primary Clinic Llc 8820 Rozetta Ct Las Vegas NV 89134-6179 Ph: (714) 815-2380 |
NPI Number | 1245004431 |
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Provider Enumeration Date | 11/08/2023 |
Last Update Date | 11/08/2023 |
Medicare PECOS PAC ID | 6800247594 |
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Medicare Enrollment ID | O20240106000768 |
Identifier | Type | State | Issuer |
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1245004431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Shamoona Ahmed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073774808 PECOS PAC ID: 4880866169 Enrollment ID: I20111010000359 |
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