| Om Medical | |
|
2980 Saint Rose Pkwy Suite #140 Henderson NV 89052-4451 | |
| (702) 456-7546 | |
| Not Available |
| Full Name | Om Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 2980 Saint Rose Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Dipti Patel (PRESIDENT) |
| Authorized Official Contact | 7024567546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Medical 68 E Serene Ave Unite 419 Las Vegas NV 89123-3732 Ph: (702) 456-7546 | Om Medical 2980 Saint Rose Pkwy Suite #140 Henderson NV 89052-4451 Ph: (702) 456-7546 |
| NPI Number | 1285878678 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285878678 | NPI | - | NPPES |
| 1298 | Other | NV | NEVADA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1298 (Nevada) | Primary |
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