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NPI Code Detail

MEDICARE: NEVADA INTENSIVE CARE EXPERTS, A MULTI SPECIALTY PLLC

MEDICARE: NEVADA INTENSIVE CARE EXPERTS, A MULTI SPECIALTY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TM1800XIntellectual & Developmental Disabilities Psychologist
2103G00000XClinical Neuropsychologist
3207R00000XInternal Medicine Physician
4363LP0808XPsychiatric/Mental Health Nurse Practitioner
5207RN0300XNephrology Physician
6207RC0200XCritical Care Medicine (Internal Medicine) Physician
7101YM0800XMental Health Counselor
8103T00000XPsychologist
9207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1427892546
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA INTENSIVE CARE EXPERTS, A MULTI SPECIALTY PLLC
Provider Business Mailing Address
First Line : 9101 W SAHARA AVE STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5799
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0482
Country : US
Telephone Number : 702-504-0283
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JORDANA NOREEN CHETA
Credential :
Telephone Number : 777-777-7777
Provider Enumeration Date : 06/24/2024
Last Update Date : 03/19/2026

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