| Vishal Gandotra Md Inc | |
|
5701 W Charleston Blvd Ste 201 Las Vegas NV 89146-0903 | |
| (702) 750-0313 | |
| (702) 487-3197 |
| Full Name | Vishal Gandotra Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5701 W Charleston Blvd Ste 201, Las Vegas, Nevada |
| Authorized Official Name and Position | Vishal Gandotra (PRESIDENT) |
| Authorized Official Contact | 7025283557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vishal Gandotra Md Inc 1930 Village Center Cir Ste 3-448 Las Vegas NV 89134-6299 Ph: (702) 528-3557 | Vishal Gandotra Md Inc 5701 W Charleston Blvd Ste 201 Las Vegas NV 89146-0903 Ph: (702) 750-0313 |
| NPI Number | 1083864177 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 06/06/2023 |
| Medicare PECOS PAC ID | 6800955410 |
|---|---|
| Medicare Enrollment ID | O20081111000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083864177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 10594 (Nevada) | Primary |
| Provider Name | Vishal Gandotra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336137603 PECOS PAC ID: 8022037555 Enrollment ID: I20051115000027 |
| Provider Name | Malwinder Sidhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720189095 PECOS PAC ID: 6002886728 Enrollment ID: I20070710000841 |
| Provider Name | Thelma B Araracap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437471059 PECOS PAC ID: 6901063643 Enrollment ID: I20120207000665 |
| Provider Name | Vinod K Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083636641 PECOS PAC ID: 7810915907 Enrollment ID: I20150824000268 |
| Provider Name | Maria Lourdes Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124471099 PECOS PAC ID: 5496027716 Enrollment ID: I20170822002148 |
| Provider Name | Maria T Jumalon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336618339 PECOS PAC ID: 5991044414 Enrollment ID: I20190228000581 |
| Provider Name | Erick Cartaya Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710435524 PECOS PAC ID: 4183049778 Enrollment ID: I20200729002944 |
| Provider Name | James V Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144675414 PECOS PAC ID: 8426319781 Enrollment ID: I20220924000397 |
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