MEDICARE: ALLMIND CARE LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1538745302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLMIND CARE LLC

Provider Business Mailing Address
First Line	:	6625 W SAHARA AVE STE 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0856
Country	:	US
Telephone Number	:	725-202-3439
Fax Number	:	725-214-4636

Provider Business Practice Location Address
First Line	:	6625 W SAHARA AVE STE 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0856
Country	:	US
Telephone Number	:	725-202-3439
Fax Number	:	725-214-4636

Authorized Official
Title or Position	:	OWNER
Name	:	FUN CHI TU
Credential	:	MD
Telephone Number	:	585-474-8883

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	12/05/2022

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Directions to “ALLMIND CARE LLC ” Practice Location

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