| Vip Primary Care | |
|
4903 Vegas Dr. Ste 102 Las Vegas NV 89108-2367 | |
| (702) 998-1200 | |
| (702) 998-1201 |
| Full Name | Vip Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4903 Vegas Dr., Las Vegas, Nevada |
| Authorized Official Name and Position | Franklin Akioyame (CEO) |
| Authorized Official Contact | 7029981200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Primary Care 4903 Vegas Dr. Ste 102 Las Vegas NV 89108-2367 Ph: (702) 998-1200 | Vip Primary Care 4903 Vegas Dr. Ste 102 Las Vegas NV 89108-2367 Ph: (702) 998-1200 |
| NPI Number | 1548558810 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 11/02/2020 |
| Medicare PECOS PAC ID | 4981872660 |
|---|---|
| Medicare Enrollment ID | O20110725000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548558810 | NPI | - | NPPES |
| Provider Name | Robert H Ingham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851358410 PECOS PAC ID: 0244292415 Enrollment ID: I20041117000500 |
| Provider Name | Franklin Akioyame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982863882 PECOS PAC ID: 7012089832 Enrollment ID: I20080710000349 |
| Provider Name | Christianah Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356938716 PECOS PAC ID: 6709062219 Enrollment ID: I20210129002338 |
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