| Sameera Sbaih Md Prof Corp | |
|
2649 Wigwam Pkwy Suite #100 Henderson NV 89074-7310 | |
| (702) 489-4500 | |
| (702) 489-4600 |
| Full Name | Sameera Sbaih Md Prof Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 2649 Wigwam Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Sameera Sbaih (PRESIDENT) |
| Authorized Official Contact | 7024894500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sameera Sbaih Md Prof Corp Po Box 531473 Henderson NV 89053-1473 Ph: (702) 489-4500 | Sameera Sbaih Md Prof Corp 2649 Wigwam Pkwy Suite #100 Henderson NV 89074-7310 Ph: (702) 489-4500 |
| NPI Number | 1710110838 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 10/20/2016 |
| Medicare PECOS PAC ID | 3779629381 |
|---|---|
| Medicare Enrollment ID | O20091013000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710110838 | NPI | - | NPPES |
| 11954 | Other | NV | NV MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11954 (Nevada) | Primary |
| Provider Name | Sameera A Sbaih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639243538 PECOS PAC ID: 8123111382 Enrollment ID: I20070904000293 |
| Provider Name | Ileana Miron Yee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578024642 PECOS PAC ID: 0840520433 Enrollment ID: I20190924003707 |
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