| Spm Inc | |
|
4471 Dean Martin Dr Unit 1807 Las Vegas NV 89103-4239 | |
| (201) 360-9485 | |
| Not Available |
| Full Name | Spm Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4471 Dean Martin Dr Unit 1807, Las Vegas, Nevada |
| Authorized Official Name and Position | H Hassanally (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 7023578811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spm Inc Po Box 778413 Henderson NV 89077-8413 Ph: () - | Spm Inc 4471 Dean Martin Dr Unit 1807 Las Vegas NV 89103-4239 Ph: (201) 360-9485 |
| NPI Number | 1710546916 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 5799016119 |
|---|---|
| Medicare Enrollment ID | O20191015002926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710546916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 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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