| Officium Helth | |
|
3061 S Maryland Pkwy Ste 202 Las Vegas NV 89109-6227 | |
| (760) 660-4790 | |
| (866) 554-1794 |
| Full Name | Officium Helth |
|---|---|
| Speciality | Internal Medicine |
| Location | 3061 S Maryland Pkwy Ste 202, Las Vegas, Nevada |
| Authorized Official Name and Position | Srinivas Vuthoori (PRESIDENT) |
| Authorized Official Contact | 7609726060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Officium Helth 35280 Bob Hope Dr Ste 100 Rancho Mirage CA 92270-1753 Ph: (760) 660-4790 | Officium Helth 3061 S Maryland Pkwy Ste 202 Las Vegas NV 89109-6227 Ph: (760) 660-4790 |
| NPI Number | 1003466590 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 4486089828 |
|---|---|
| Medicare Enrollment ID | O20200114000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003466590 | NPI | - | NPPES |
| H60840 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Srinivas B Vuthoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235183278 PECOS PAC ID: 9537148713 Enrollment ID: I20041001001035 |
| Provider Name | Royal Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043769185 PECOS PAC ID: 6002197571 Enrollment ID: I20161222000398 |
| Provider Name | Raveena Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881444792 PECOS PAC ID: 1759722481 Enrollment ID: I20240513003188 |
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