| S P a | |
|
20 E Serene Ave Unit 106 Las Vegas NV 89123-3766 | |
| (630) 890-2641 | |
| Not Available |
| Full Name | S P a |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 E Serene Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Amit Valera (OWNER) |
| Authorized Official Contact | 6308902641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S P a 20 E Serene Ave Unit 106 Las Vegas NV 89123-3766 | S P a 20 E Serene Ave Unit 106 Las Vegas NV 89123-3766 Ph: (630) 890-2641 |
| NPI Number | 1427453455 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427453455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO1528 (Nevada) | Primary |
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