| Sassan Kaveh Md Prof Corp | |
|
3150 N Tenaya Way Suite 400 Las Vegas NV 89128-0443 | |
| (702) 233-6661 | |
| (702) 233-3055 |
| Full Name | Sassan Kaveh Md Prof Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 3150 N Tenaya Way, Las Vegas, Nevada |
| Authorized Official Name and Position | Sassan Kaveh (PRESIDENT) |
| Authorized Official Contact | 7022336661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sassan Kaveh Md Prof Corp 3150 N Tenaya Way Suite 400 Las Vegas NV 89128-0443 Ph: (702) 233-6661 | Sassan Kaveh Md Prof Corp 3150 N Tenaya Way Suite 400 Las Vegas NV 89128-0443 Ph: (702) 233-6661 |
| NPI Number | 1649291352 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 12/28/2020 |
| Medicare PECOS PAC ID | 7416962972 |
|---|---|
| Medicare Enrollment ID | O20060221000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649291352 | NPI | - | NPPES |
| 1851385447 | Medicaid | NV | |
| 6750110001 | Other | NV | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8320 (Nevada) | Primary |
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