| Kevin P. Debiparshad Pllc | |
|
8180 Rafael Rivera Way Ste 100, Las Vegas, NV 89113-5429 | |
| (702) 678-4658 | |
| (844) 254-1850 |
| Full Name | Kevin P. Debiparshad Pllc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 8180 Rafael Rivera Way Ste 100, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942718101 | NPI | - | NPPES |
| 100556007 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | (* (Not Available)) | Primary |
| Provider Name | Michael D Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003012980 PECOS PAC ID: 2365535754 Enrollment ID: I20070830000187 |
| Provider Name | Kevin P Debiparshad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710314968 PECOS PAC ID: 7012143829 Enrollment ID: I20150831000132 |
| Provider Name | Kimberly Janeen Bozart-dow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083869283 PECOS PAC ID: 9436309978 Enrollment ID: I20180614003027 |
| Provider Name | Shaena Mae Amram |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609264076 PECOS PAC ID: 8820401748 Enrollment ID: I20210113001302 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin P. Debiparshad Pllc 8180 Rafael Rivera Way Ste 100, Las Vegas, NV 89113-5429 Ph: (702) 678-4658 | Kevin P. Debiparshad Pllc 8180 Rafael Rivera Way Ste 100, Las Vegas, NV 89113-5429 Ph: (702) 678-4658 |