| Premier Medical Llc | |
|
3001 Saint Rose Pkwy Henderson NV 89052-3839 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Premier Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3001 Saint Rose Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Anant K Sonpatki (OWNER / PROVIDER) |
| Authorized Official Contact | 5034498752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Llc 2660 Crimson Canyon Dr Ste 130 Las Vegas NV 89128-0846 Ph: (702) 453-3799 | Premier Medical Llc 3001 Saint Rose Pkwy Henderson NV 89052-3839 Ph: (702) 453-3799 |
| NPI Number | 1306369442 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 03/31/2018 |
| Medicare PECOS PAC ID | 8224391743 |
|---|---|
| Medicare Enrollment ID | O20180416002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306369442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11791 (Nevada) | Primary |
| Provider Name | Vishweshwar R Ranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649269606 PECOS PAC ID: 8527054493 Enrollment ID: I20040424000245 |
| Provider Name | Anant Kamalakar Sonpatki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407877343 PECOS PAC ID: 2567468606 Enrollment ID: I20061012000111 |
| Provider Name | Sushil R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538381058 PECOS PAC ID: 9931262912 Enrollment ID: I20090117000018 |
| Provider Name | Ayodele O Okunola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124290317 PECOS PAC ID: 6608046974 Enrollment ID: I20110823000881 |
| Provider Name | Sean Jeet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346684982 PECOS PAC ID: 1850686445 Enrollment ID: I20160822001324 |
| Provider Name | Sarav Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407276272 PECOS PAC ID: 9234405176 Enrollment ID: I20171020002639 |
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