| Shabnam Darbari Md Pc | |
|
7106 Smoke Ranch Rd Suite 120 Las Vegas NV 89128-8306 | |
| (702) 224-2505 | |
| (702) 562-8680 |
| Full Name | Shabnam Darbari Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7106 Smoke Ranch Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Shabnam Darbari (PRESIDENT) |
| Authorized Official Contact | 7029859699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shabnam Darbari Md Pc Po Box 36830 Las Vegas NV 89133-6830 Ph: (702) 224-2505 | Shabnam Darbari Md Pc 7106 Smoke Ranch Rd Suite 120 Las Vegas NV 89128-8306 Ph: (702) 224-2505 |
| NPI Number | 1265691844 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 2860569118 |
|---|---|
| Medicare Enrollment ID | O20080929000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265691844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10032 (Nevada) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 10032 (Nevada) | Primary |
| Provider Name | Sunil K Darbari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932197290 PECOS PAC ID: 3678475308 Enrollment ID: I20040123000178 |
| Provider Name | Shabnam Darbari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225026016 PECOS PAC ID: 2062431539 Enrollment ID: I20051114000810 |
| Provider Name | Lourdes M Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851717813 PECOS PAC ID: 7113140641 Enrollment ID: I20140602000313 |
| Provider Name | Emerlinda M Sambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457785743 PECOS PAC ID: 1658687116 Enrollment ID: I20150828000274 |
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