| Internal Medicine Specialists Of Southern Nevada | |
|
201 N Buffalo Dr Las Vegas NV 89145-0373 | |
| (702) 242-2737 | |
| (702) 255-3170 |
| Full Name | Internal Medicine Specialists Of Southern Nevada |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 N Buffalo Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Babak Ghadishah (PRESIDENT) |
| Authorized Official Contact | 7022422737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Specialists Of Southern Nevada 201 N Buffalo Dr Las Vegas NV 89145-0373 Ph: (702) 242-2737 | Internal Medicine Specialists Of Southern Nevada 201 N Buffalo Dr Las Vegas NV 89145-0373 Ph: (702) 242-2737 |
| NPI Number | 1013917640 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 6507854049 |
|---|---|
| Medicare Enrollment ID | O20040504000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013917640 | NPI | - | NPPES |
| 100501810 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Babak Ghadishah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346272408 PECOS PAC ID: 6406845338 Enrollment ID: I20040507000032 |
| Provider Name | David H Rosenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518001551 PECOS PAC ID: 4789644691 Enrollment ID: I20041015000496 |
| Provider Name | Matthew H Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003917055 PECOS PAC ID: 0042246308 Enrollment ID: I20050709000033 |
| Provider Name | Rebecca S Sinai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699819631 PECOS PAC ID: 9335154053 Enrollment ID: I20060217000381 |
| Provider Name | Thomas A Alfreda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487824041 PECOS PAC ID: 4981890530 Enrollment ID: I20101122001375 |
| Provider Name | Faezeh Izadmanesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487836748 PECOS PAC ID: 6406036912 Enrollment ID: I20110215000655 |
| Provider Name | Gary Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487679445 PECOS PAC ID: 2466440904 Enrollment ID: I20120208000592 |
| Provider Name | Pejman Kharazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669763488 PECOS PAC ID: 8729222724 Enrollment ID: I20170112001499 |
| Provider Name | Jennifer Cribb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093047086 PECOS PAC ID: 7214159177 Enrollment ID: I20170427000484 |
| Provider Name | Dyllen Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467802082 PECOS PAC ID: 6305139262 Enrollment ID: I20190701002278 |
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