| Desert Inn Medical Clinic | |
|
1900 E Desert Inn Rd Las Vegas NV 89169-3211 | |
| (702) 425-6125 | |
| (702) 208-2202 |
| Full Name | Desert Inn Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 E Desert Inn Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Pejman Kharazi (MANAGER) |
| Authorized Official Contact | 3109803074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Inn Medical Clinic Po Box 370396 Las Vegas NV 89137-0396 Ph: (702) 425-6125 | Desert Inn Medical Clinic 1900 E Desert Inn Rd Las Vegas NV 89169-3211 Ph: (702) 425-6125 |
| NPI Number | 1205589470 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 04/29/2024 |
| Medicare PECOS PAC ID | 6800266842 |
|---|---|
| Medicare Enrollment ID | O20230107000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205589470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pejman Kharazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669763488 PECOS PAC ID: 8729222724 Enrollment ID: I20170112001499 |
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