| Palm Medical Group Llc | |
|
9280 W Sunset Rd Suit 306 Las Vegas NV 89148-4860 | |
| (702) 696-7256 | |
| (702) 796-7256 |
| Full Name | Palm Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9280 W Sunset Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Samer Nakhle (OWNER) |
| Authorized Official Contact | 7026967256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Medical Group Llc Po Box 400475 Las Vegas NV 89140-0475 Ph: (702) 696-7256 | Palm Medical Group Llc 9280 W Sunset Rd Suit 306 Las Vegas NV 89148-4860 Ph: (702) 696-7256 |
| NPI Number | 1023236668 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 03/15/2011 |
| Medicare PECOS PAC ID | 6204926298 |
|---|---|
| Medicare Enrollment ID | O20071213000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023236668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10001 (Nevada) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 10001 (Nevada) | Primary |
| Provider Name | Samer N Nakhle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841281771 PECOS PAC ID: 1456240860 Enrollment ID: I20040313000133 |
| Provider Name | Serena A Klugh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225009988 PECOS PAC ID: 9335181338 Enrollment ID: I20050601000128 |
| Provider Name | Antonio M Flores Erazo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124203054 PECOS PAC ID: 4789854050 Enrollment ID: I20110823000891 |
| Provider Name | Betsy M Palal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376729079 PECOS PAC ID: 1557423506 Enrollment ID: I20111011000439 |
| Provider Name | Bijan Ahrari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679726467 PECOS PAC ID: 0941487250 Enrollment ID: I20140822000965 |
| Provider Name | Nicholas Vernetti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407939317 PECOS PAC ID: 5395981401 Enrollment ID: I20150806012659 |
| Provider Name | Maryam Rivaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679891006 PECOS PAC ID: 4880817220 Enrollment ID: I20160127002630 |
| Provider Name | Omid Rad Pour |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437367901 PECOS PAC ID: 7113198219 Enrollment ID: I20160219000709 |
| Provider Name | Ted A Tobey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114917176 PECOS PAC ID: 4082766696 Enrollment ID: I20180430002145 |
| Provider Name | Heranmaye C Prasad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285155739 PECOS PAC ID: 2264768019 Enrollment ID: I20221004000365 |
| Provider Name | Gayoung Kaylee Yu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740712462 PECOS PAC ID: 9234400599 Enrollment ID: I20230915000778 |
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