S P A
S P A provides Internal Medicine Physician services in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2014.
- Licensed in
- NV
- In the registry since
- 2014
Practice location Address checks out
20 E Serene Ave Unit 106Las Vegas, NV 89123-3766 Not confirmed with CMS for 11 years — call before visiting
Phone: (630) 890-2641
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence DO1528 (NV) |
|---|
Record details
| NPI number | 1427453455 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amit Valera — Owner · (630) 890-2641 |
| NPI enumerated | November 4, 2014 |
| Last updated in NPPES | November 4, 2014 |
| Mailing address | 20 E Serene Ave, Unit 106, Las Vegas, NV 89123-3766 |
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