| Genesis Medical Group Parkway Urgent Care | |
|
100 N Green Valley Pkwy # 110 Henderson NV 89074-6391 | |
| (702) 436-7700 | |
| (702) 436-3800 |
| Full Name | Genesis Medical Group Parkway Urgent Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 N Green Valley Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Mahendra Paul Singh (OWNER) |
| Authorized Official Contact | 7024367700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Group Parkway Urgent Care 100 N Green Valley Pkwy # 110 Henderson NV 89074-6391 Ph: (702) 436-7700 | Genesis Medical Group Parkway Urgent Care 100 N Green Valley Pkwy # 110 Henderson NV 89074-6391 Ph: (702) 436-7700 |
| NPI Number | 1699988055 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 10/28/2010 |
| Medicare PECOS PAC ID | 8527054543 |
|---|---|
| Medicare Enrollment ID | O20040423000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699988055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 162018 (Nevada) | Primary |
| Provider Name | Ola E Eisa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184806135 PECOS PAC ID: 6507942257 Enrollment ID: I20081104000649 |
| Provider Name | Lubna Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417033044 PECOS PAC ID: 4587663034 Enrollment ID: I20091028000381 |
| Provider Name | Mahendra Paul Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063587855 PECOS PAC ID: 0042278327 Enrollment ID: I20110328000621 |
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