| Summit Medical Group Llc | |
|
11035 Lavender Hill Dr Ste 160-435 Las Vegas NV 89135-2955 | |
| (702) 835-9856 | |
| (702) 629-1620 |
| Full Name | Summit Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11035 Lavender Hill Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Shivesh Kumar (OWNER) |
| Authorized Official Contact | 7023703497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Group Llc 11035 Lavender Hill Dr Ste 160-435 Las Vegas NV 89135-2955 Ph: (702) 370-3497 | Summit Medical Group Llc 11035 Lavender Hill Dr Ste 160-435 Las Vegas NV 89135-2955 Ph: (702) 835-9856 |
| NPI Number | 1427593573 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 07/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427593573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14464 (Nevada) | Primary |
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