| Family Doctors Ramanathan, Pllc | |
|
291 N Pecos Rd Henderson NV 89074-1918 | |
| (702) 616-9471 | |
| (702) 616-9681 |
| Full Name | Family Doctors Ramanathan, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 291 N Pecos Rd, Henderson, Nevada |
| Authorized Official Name and Position | Ravi S Ramanathan (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7026169471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Doctors Ramanathan, Pllc 291 N Pecos Rd Henderson NV 89074-1918 Ph: (702) 616-9471 | Family Doctors Ramanathan, Pllc 291 N Pecos Rd Henderson NV 89074-1918 Ph: (702) 616-9471 |
| NPI Number | 1437258274 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 11/06/2014 |
| Medicare PECOS PAC ID | 8628125341 |
|---|---|
| Medicare Enrollment ID | O20090427000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437258274 | NPI | - | NPPES |
| 100506471 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9434 (Nevada) | Primary |
| Provider Name | Ravi S Ramanathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770582520 PECOS PAC ID: 9335119429 Enrollment ID: I20040728000372 |
| Provider Name | Kevin D Templar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518000538 PECOS PAC ID: 8527162825 Enrollment ID: I20091125000559 |
| Provider Name | Tynara Sarybashova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811358732 PECOS PAC ID: 5092091975 Enrollment ID: I20170406002455 |
| Provider Name | Darryl W Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326570615 PECOS PAC ID: 9032489976 Enrollment ID: I20170725003459 |
| Provider Name | Selena Nicole Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194281170 PECOS PAC ID: 6901239995 Enrollment ID: I20191205000574 |
| Provider Name | Mussie Y Mahderekal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992239164 PECOS PAC ID: 4880965326 Enrollment ID: I20200721004333 |
| Provider Name | Jessica Annekathleen Malachek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346887809 PECOS PAC ID: 6709201403 Enrollment ID: I20200729000112 |
| Provider Name | Erin L Miyashiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760977029 PECOS PAC ID: 6901154905 Enrollment ID: I20201006002442 |
| Provider Name | Kimberly Alison-maribbay Badiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952917833 PECOS PAC ID: 7618397381 Enrollment ID: I20201019001344 |
| Provider Name | Albert James Bales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790443497 PECOS PAC ID: 9830584424 Enrollment ID: I20220317001146 |
| Provider Name | Sandra Kay Henemyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215693379 PECOS PAC ID: 6305231457 Enrollment ID: I20220328001143 |
| Provider Name | Soudabeh Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295454387 PECOS PAC ID: 7012371289 Enrollment ID: I20230907001094 |
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