| Paseo Medical Center | |
|
700 E Silverado Ranch Blvd Suite 140 Las Vegas NV 89183-7516 | |
| (702) 435-1995 | |
| (702) 436-3530 |
| Full Name | Paseo Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 E Silverado Ranch Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Behzad Kermani (PRESIDENT) |
| Authorized Official Contact | 7024351995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paseo Medical Center 700 E Silverado Ranch Blvd Suite 140 Las Vegas NV 89183-7516 Ph: (702) 435-1995 | Paseo Medical Center 700 E Silverado Ranch Blvd Suite 140 Las Vegas NV 89183-7516 Ph: (702) 435-1995 |
| NPI Number | 1255459285 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 10/28/2010 |
| Medicare PECOS PAC ID | 8527089192 |
|---|---|
| Medicare Enrollment ID | O20051209000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255459285 | NPI | - | NPPES |
| 2019388 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Behzad Kermani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548208051 PECOS PAC ID: 4688695257 Enrollment ID: I20051216000630 |
| Provider Name | Natalie Huxtable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962167585 PECOS PAC ID: 5193102747 Enrollment ID: I20220519002089 |
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