Unknown Individual – Pulmonary Disease Physician, NPI 1093763112
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Elite Medical Center, 150, East Harmon Avenue, Paradise, Clark County, Nevada, 89109, United States
STE. 202
LAS VEGAS, NV 891094533
Phone: (702) 949-2702
Fax: (702) 565-1024
Type: Location
38, Caminito Amore, Lake Las Vegas, Henderson, Clark County, Nevada, 89011, United States
HENDERSON, NV 890112407
Phone: (702) 949-2702
Fax: (702) 565-1024
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| Nurse Practitioner | FL | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | NV | |
| Critical Care (Intensivists) | NV | |
| Critical Care (Intensivists), Pulmonary Disease | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| Physician Assistant | NV | |
| Internal Medicine, Critical Care (Intensivists) | IL | |
| Nurse Practitioner | TX |
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