| Nevada Primary Physicians Group Nath Md | |
|
3590 Alpine Lily Dr Las Vegas NV 89141-3251 | |
| (702) 460-6360 | |
| Not Available |
| Full Name | Nevada Primary Physicians Group Nath Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 3590 Alpine Lily Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Manoj Nath (OWNER) |
| Authorized Official Contact | 7024606360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Primary Physicians Group Nath Md 3590 Alpine Lily Dr Las Vegas NV 89141-3251 Ph: () - | Nevada Primary Physicians Group Nath Md 3590 Alpine Lily Dr Las Vegas NV 89141-3251 Ph: (702) 460-6360 |
| NPI Number | 1386021590 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 5799776886 |
|---|---|
| Medicare Enrollment ID | O20150729010069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386021590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8705 (Nevada) | Primary |
| Provider Name | Manoj Nath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881799146 PECOS PAC ID: 0042101156 Enrollment ID: I20070301000692 |
| Provider Name | Mildred M Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578635140 PECOS PAC ID: 4880586072 Enrollment ID: I20071002000877 |
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