| Ed Soumi MD PC | |
|
5945 South Rainbow Boulvard Suite 140 Las Vegas NV 89118-2560 | |
| (702) 366-1764 | |
| Not Available |
| Full Name | Ed Soumi MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5945 South Rainbow Boulvard, Las Vegas, Nevada |
| Authorized Official Name and Position | Ed Soumi (OWNER) |
| Authorized Official Contact | 7028751111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ed Soumi MD PC 11368 Merado Peak Dr Las Vegas NV 89135-1301 Ph: (702) 875-1111 | Ed Soumi MD PC 5945 South Rainbow Boulvard Suite 140 Las Vegas NV 89118-2560 Ph: (702) 366-1764 |
| NPI Number | 1457570400 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 12/18/2007 |
| Medicare PECOS PAC ID | 2163520123 |
|---|---|
| Medicare Enrollment ID | O20070614000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457570400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11551 (Nevada) | Primary |
| Provider Name | Ed E Soumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447350392 PECOS PAC ID: 9032136536 Enrollment ID: I20051024001004 |
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