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NPI Code Detail

MEDICARE: PREMIERE PHYSICIANS NETWORK LLP

MEDICARE: PREMIERE PHYSICIANS NETWORK LLP
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
1208M00000XHospitalist Physician
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1508194473
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIERE PHYSICIANS NETWORK LLP
Provider Business Mailing Address
First Line : 1401 PINE LEAF DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-1648
Country : US
Telephone Number : 702-380-2377
Fax Number : 702-492-1728
Provider Business Practice Location Address
First Line : 1401 PINE LEAF DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-1648
Country : US
Telephone Number : 702-380-2377
Fax Number : 702-492-1728
Authorized Official
Title or Position : MNG MBR
Name : MUHAMMAD A SYED
Credential : MD
Telephone Number : 702-380-2377
Provider Enumeration Date : 12/03/2009
Last Update Date : 12/03/2009

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Directions to “PREMIERE PHYSICIANS NETWORK LLP ” Practice Location

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