| A Modern Medicine | |
|
2641 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-4836 | |
| (702) 360-0010 | |
| (702) 360-0011 |
| Full Name | A Modern Medicine |
|---|---|
| Speciality | General Practice |
| Location | 2641 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada |
| Authorized Official Name and Position | Nicholas Kalayeh (OWNER) |
| Authorized Official Contact | 6025499537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Modern Medicine Po Box 778195 Henderson NV 89077-8195 Ph: (702) 360-0010 | A Modern Medicine 2641 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-4836 Ph: (702) 360-0010 |
| NPI Number | 1679230288 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 05/30/2025 |
| Certification Date | 05/30/2025 |
| Medicare PECOS PAC ID | 2264825314 |
|---|---|
| Medicare Enrollment ID | O20220214000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679230288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Edeliz Charles Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033576814 PECOS PAC ID: 2668779430 Enrollment ID: I20160322000630 |
| Provider Name | Natalia Ermakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194173732 PECOS PAC ID: 7214222694 Enrollment ID: I20160824001670 |
| Provider Name | Nicholas Kalayeh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134335607 PECOS PAC ID: 2860583309 Enrollment ID: I20210303000476 |
| Provider Name | Firas Khamis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205164969 PECOS PAC ID: 0042476244 Enrollment ID: I20210618002148 |
| Provider Name | Bersabel Woldemariam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295362804 PECOS PAC ID: 8022416452 Enrollment ID: I20230705001766 |
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