| Valley Endocrinology | |
|
653 N. Town Center Dr Suite 504 Las Vegas NV 89144-0514 | |
| (702) 701-8400 | |
| (702) 701-8401 |
| Full Name | Valley Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 653 N. Town Center Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Molouk Rahnema (OWNER) |
| Authorized Official Contact | 7027018400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Endocrinology P.o. Box 34468 Las Vegas NV 89133-4468 Ph: (702) 701-8400 | Valley Endocrinology 653 N. Town Center Dr Suite 504 Las Vegas NV 89144-0514 Ph: (702) 701-8400 |
| NPI Number | 1811245400 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 6002068038 |
|---|---|
| Medicare Enrollment ID | O20121220000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811245400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 13479 (Nevada) | Primary |
| Provider Name | Molouk F Rahnema |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598968000 PECOS PAC ID: 8426077710 Enrollment ID: I20100804000538 |
| Provider Name | Maria L Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164857488 PECOS PAC ID: 6305075938 Enrollment ID: I20140131000447 |
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