| Infectious Disease Associates | |
|
6088 S Durango Dr #d-100 Las Vegas NV 89113 | |
| (702) 380-4242 | |
| (702) 380-4141 |
| Full Name | Infectious Disease Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 6088 S Durango Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Alka Peter Rebentish (PRESIDENT PHYSICIAN) |
| Authorized Official Contact | 7023804242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates 1450 W Horizon Ridge Pkwy B304 #668 Henderson NV 89012 Ph: (702) 868-8387 | Infectious Disease Associates 6088 S Durango Dr #d-100 Las Vegas NV 89113 Ph: (702) 380-4242 |
| NPI Number | 1386721157 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 9133211667 |
|---|---|
| Medicare Enrollment ID | O20070828000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386721157 | NPI | - | NPPES |
| 1427012806 | Other | NPI FOR DR. ALKA REBENTIS | |
| 002018716 | Medicaid | NV | |
| 2002678 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 9172 (Nevada) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | 8061 (Nevada) | Secondary |
| Provider Name | Alka P Rebentish |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427012806 PECOS PAC ID: 4789619792 Enrollment ID: I20050928001085 |
| Provider Name | Chukwudum Uche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528276052 PECOS PAC ID: 0648362699 Enrollment ID: I20070822000556 |
| Provider Name | Joseph Poliquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140358 PECOS PAC ID: 5092099572 Enrollment ID: I20170228002514 |
| Provider Name | Greny Maliakal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033625330 PECOS PAC ID: 0345502274 Enrollment ID: I20180313000652 |
| Provider Name | Semmalar Rajamani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386274728 PECOS PAC ID: 7416387600 Enrollment ID: I20200501001151 |
| Provider Name | Michael John Bondoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376157420 PECOS PAC ID: 9537589825 Enrollment ID: I20201027001352 |
| Provider Name | Krista Courtney Dacasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396343570 PECOS PAC ID: 1658788906 Enrollment ID: I20210401002078 |
| Provider Name | Monica Lynn Lynam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902511496 PECOS PAC ID: 6608217807 Enrollment ID: I20240517002016 |
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