Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melvin Banzon

Individual provider Family Nurse Practitioner · NPI 1952925513

Melvin Banzon is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2019, 7 years ago. Practices with Deepa Hasija MD, an 8-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2020
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Practice location Address checks out

6765 W Charleston Blvd Ste 110
Las Vegas, NV 89146-2001
Phone: (702) 852-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 829626 (NV)

Record details

NPI number1952925513
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 29, 2020
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Deepa Hasija Md — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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