| Cultivating Communities Together Health Centers | |
|
2435 Fire Mesa St Ste 130 Las Vegas NV 89128-9009 | |
| (843) 814-5177 | |
| Not Available |
| Full Name | Cultivating Communities Together Health Centers |
|---|---|
| Speciality | Internal Medicine |
| Location | 2435 Fire Mesa St Ste 130, Las Vegas, Nevada |
| Authorized Official Name and Position | Raj Sonani (MANAGER) |
| Authorized Official Contact | 6789898942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivating Communities Together Health Centers 8379 W Sunset Rd Ste 210 Las Vegas NV 89113-2243 Ph: (843) 814-5177 | Cultivating Communities Together Health Centers 2435 Fire Mesa St Ste 130 Las Vegas NV 89128-9009 Ph: (843) 814-5177 |
| NPI Number | 1811717168 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 04/01/2025 |
| Medicare PECOS PAC ID | 1254861982 |
|---|---|
| Medicare Enrollment ID | O20250211002582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811717168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ricardo Andres Cedeno-mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194201426 PECOS PAC ID: 9436545829 Enrollment ID: I20220412002048 |
| Provider Name | Angeline Prabhu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245645878 PECOS PAC ID: 7618196155 Enrollment ID: I20220421002144 |
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