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9280 W. Sunset Rd Suite 236 Las Vegas NV 89148-4861 | |
| (702) 732-2600 | |
| (702) 732-2622 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9280 W. Sunset Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Venkatachalam Veerappan (PRESIDENT) |
| Authorized Official Contact | 7027322600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 370231 Las Vegas NV 89137-0231 Ph: (702) 732-2600 | 9280 W. Sunset Rd Suite 236 Las Vegas NV 89148-4861 Ph: (702) 732-2600 |
| NPI Number | 1740475862 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 5799865903 |
|---|---|
| Medicare Enrollment ID | O20071231000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740475862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Venkatachalam Veerappan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154319432 PECOS PAC ID: 1658390125 Enrollment ID: I20051114000849 |
| Provider Name | Adrienne Marie Pan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790123925 PECOS PAC ID: 8729305313 Enrollment ID: I20180629002416 |
| Provider Name | Cyndi Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235424979 PECOS PAC ID: 0042522708 Enrollment ID: I20190403001193 |
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