| Red Rock Neurology & Pain Management | |
|
1905 Mcdaniel St Ste 102 N Las Vegas NV 89030-7170 | |
| (702) 294-0080 | |
| (702) 965-2220 |
| Full Name | Red Rock Neurology & Pain Management |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1905 Mcdaniel St Ste 102, N Las Vegas, Nevada |
| Authorized Official Name and Position | Sherif Al-hawarey (OWNER) |
| Authorized Official Contact | 7022940080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock Neurology & Pain Management 1905 Mcdaniel St Ste 102 N Las Vegas NV 89030-7170 Ph: (702) 294-0080 | Red Rock Neurology & Pain Management 1905 Mcdaniel St Ste 102 N Las Vegas NV 89030-7170 Ph: (702) 294-0080 |
| NPI Number | 1104482595 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 4587990619 |
|---|---|
| Medicare Enrollment ID | O20190729000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104482595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua A Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376795849 PECOS PAC ID: 7315094380 Enrollment ID: I20090408000316 |
| Provider Name | Sherif Hassan Al-hawarey |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104029164 PECOS PAC ID: 9234292160 Enrollment ID: I20181106003151 |
| Provider Name | Siranush Khaladzhyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427780030 PECOS PAC ID: 7618348368 Enrollment ID: I20230117002947 |
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