| Infectious Disease Specialists, Llc | |
|
6867 W Charleston Blvd Ste B Las Vegas NV 89117-1669 | |
| (702) 396-4165 | |
| (702) 252-4405 |
| Full Name | Infectious Disease Specialists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6867 W Charleston Blvd Ste B, Las Vegas, Nevada |
| Authorized Official Name and Position | Dhiresh Joshi (OWNER) |
| Authorized Official Contact | 7022798614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Specialists, Llc Po Box 400548 Las Vegas NV 89140-0548 Ph: (702) 279-8614 | Infectious Disease Specialists, Llc 6867 W Charleston Blvd Ste B Las Vegas NV 89117-1669 Ph: (702) 396-4165 |
| NPI Number | 1558427526 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 09/26/2022 |
| Medicare PECOS PAC ID | 7214974971 |
|---|---|
| Medicare Enrollment ID | O20050413001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558427526 | NPI | - | NPPES |
| 002018228 | Medicaid | NV | |
| 100506333 | Medicaid | NV | |
| 100506943 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 11377 (Nevada) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 8442 (Nevada) | Primary |
| Provider Name | Dhiresh Joshi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225194293 PECOS PAC ID: 8123001682 Enrollment ID: I20040608000313 |
| Provider Name | Vicente Hector Gatan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477722866 PECOS PAC ID: 6901984483 Enrollment ID: I20080424000070 |
| Provider Name | Angie P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225377617 PECOS PAC ID: 8628214871 Enrollment ID: I20130415000241 |
| Provider Name | John Collis Valdez Lacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588119358 PECOS PAC ID: 6800174525 Enrollment ID: I20161101001815 |
| Provider Name | Gina Balgoyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891206983 PECOS PAC ID: 9931466190 Enrollment ID: I20171127002401 |
| Provider Name | Juan Carlos Salacup Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760090419 PECOS PAC ID: 0749609048 Enrollment ID: I20201007000069 |
| Provider Name | Judith Ramos Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033879770 PECOS PAC ID: 8325439342 Enrollment ID: I20211230001919 |
| Provider Name | Kimberly Bacolor Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497532691 PECOS PAC ID: 2466809264 Enrollment ID: I20231116001546 |
| Provider Name | Shobhit Keswani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427519073 PECOS PAC ID: 4486981842 Enrollment ID: I20250424000471 |
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