| Tabreez S Ali Do Pc | |
|
102 E Lake Mead Pkwy Henderson NV 89015-5575 | |
| (702) 564-2522 | |
| Not Available |
| Full Name | Tabreez S Ali Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 102 E Lake Mead Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Tabreez S Ali (PRESIDENT) |
| Authorized Official Contact | 7028587376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabreez S Ali Do Pc Po Box 36830 Las Vegas NV 89133-6830 Ph: (702) 858-7376 | Tabreez S Ali Do Pc 102 E Lake Mead Pkwy Henderson NV 89015-5575 Ph: (702) 564-2522 |
| NPI Number | 1982908661 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 5496938995 |
|---|---|
| Medicare Enrollment ID | O20110321000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982908661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO1552 (Nevada) | Primary |
| Provider Name | Tabreez Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376799064 PECOS PAC ID: 4385827898 Enrollment ID: I20110322001062 |
| Provider Name | Niberonofer Pascual Dayco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598161234 PECOS PAC ID: 7911226337 Enrollment ID: I20150507000585 |
| Provider Name | Alberto P Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457883316 PECOS PAC ID: 2466739370 Enrollment ID: I20170502001944 |
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