| David Randall Mirich, MD | |
|
2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | |
| (702) 732-6000 | |
| (702) 243-7531 |
| Full Name | David Randall Mirich |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 43 Years |
| Location | 2950 S Maryland Pkwy, Las Vegas, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861492522 | NPI | - | NPPES |
| 200262805 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 6299 (Nevada) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sdmi Limited Partnership | 7911897053 | 32 |
| Sdmi Limited Partnership | 7911897053 | 32 |
| Entity Name | Sdmi Limited Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568462034 PECOS PAC ID: 7911897053 Enrollment ID: O20120228000651 |
| Mailing Address | Practice Location Address |
|---|---|
| David Randall Mirich, MD Po Box 36900, Las Vegas, NV 89133-6900 Ph: (702) 732-6000 | David Randall Mirich, MD 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 Ph: (702) 732-6000 |
Dr. Douglas Glen Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Palomino Ln, #100, Las Vegas, NV 89106 Phone: 702-759-8600 | |
Saravanan Valliappan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118 Phone: 702-477-0772 | |
Young Suk Song, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 | |
Ho Viet Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-240-1215 Fax: 702-243-7531 | |
Yuanlong Zhao, MD Radiology Medicare: Medicare Enrolled Practice Location: 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 Phone: 404-915-2966 | |
Amir Kilani, DO Radiology Medicare: Medicare Enrolled Practice Location: 3100 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-962-5000 | |
Gorden Chu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-732-6000 Fax: 702-243-7531 |