| Reuben I Thaker Md Pllc | |
|
9420 W Sahara Ave Ste 105 Las Vegas NV 89117-8800 | |
| (702) 545-0660 | |
| (253) 461-7851 |
| Full Name | Reuben I Thaker Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9420 W Sahara Ave Ste 105, Las Vegas, Nevada |
| Authorized Official Name and Position | Reuben Thaker (OWNER) |
| Authorized Official Contact | 7025450660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reuben I Thaker Md Pllc 9420 W Sahara Ave Ste 105 Las Vegas NV 89117-8800 Ph: (702) 545-0660 | Reuben I Thaker Md Pllc 9420 W Sahara Ave Ste 105 Las Vegas NV 89117-8800 Ph: (702) 545-0660 |
| NPI Number | 1629546585 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 11/08/2018 |
| Medicare PECOS PAC ID | 4385980432 |
|---|---|
| Medicare Enrollment ID | O20190425000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629546585 | NPI | - | NPPES |
| 1881890432 | Medicaid | NV |
| Provider Name | Reuben Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881890432 PECOS PAC ID: 1658438478 Enrollment ID: I20190425000157 |
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