Kristi A Asante Md Pc | |
10300 W Charleston Blvd # 13-250 Las Vegas NV 89135-1037 | |
(702) 825-7374 | |
Not Available |
Full Name | Kristi A Asante Md Pc |
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Speciality | Internal Medicine |
Location | 10300 W Charleston Blvd # 13-250, Las Vegas, Nevada |
Authorized Official Name and Position | Kristie A Asante (PRESIDENT) |
Authorized Official Contact | 7028066768 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kristi A Asante Md Pc 5835 Egan Crest Dr Las Vegas NV 89149-1225 Ph: (702) 806-6768 | Kristi A Asante Md Pc 10300 W Charleston Blvd # 13-250 Las Vegas NV 89135-1037 Ph: (702) 825-7374 |
NPI Number | 1114262003 |
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Provider Enumeration Date | 12/03/2012 |
Last Update Date | 05/31/2021 |
Medicare PECOS PAC ID | 9032363817 |
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Medicare Enrollment ID | O20130201000212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114262003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10271 (Nevada) | Primary |
Provider Name | Kristi A Asante |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1811955354 PECOS PAC ID: 9133189566 Enrollment ID: I20041012000180 |
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