| Internal Medicine Associates Of Southern Nevada, Inc. | |
|
3196 S Maryland Pkwy Ste 202 Las Vegas NV 89109-2313 | |
| (702) 649-8009 | |
| (702) 649-8049 |
| Full Name | Internal Medicine Associates Of Southern Nevada, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3196 S Maryland Pkwy Ste 202, Las Vegas, Nevada |
| Authorized Official Name and Position | Tanvir Bin Hossain (PRESIDENT) |
| Authorized Official Contact | 7026498009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Southern Nevada, Inc. 3196 S Maryland Pkwy Ste 202 Las Vegas NV 89109-2313 Ph: (702) 649-8009 | Internal Medicine Associates Of Southern Nevada, Inc. 3196 S Maryland Pkwy Ste 202 Las Vegas NV 89109-2313 Ph: (702) 649-8009 |
| NPI Number | 1316973647 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 4789693532 |
|---|---|
| Medicare Enrollment ID | O20060406000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316973647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10067 (Nevada) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | 10688 (Nevada) | Secondary |
| Provider Name | Tanvir B Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881613891 PECOS PAC ID: 1052320827 Enrollment ID: I20060815000037 |
| Provider Name | Natalie Berkeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841895281 PECOS PAC ID: 6507272689 Enrollment ID: I20210316000730 |
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