MEDICARE: ANDREW K MENSAH MD A PC

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	207R00000X	Internal Medicine Physician	11617	NV

General Provider Information

NPI Number	:	1871759746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW K MENSAH MD A PC

Provider Business Mailing Address
First Line	:	4112 LOWER SAXON AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-4467
Country	:	US
Telephone Number	:	702-210-9423
Fax Number	:	702-360-6544

Provider Business Practice Location Address
First Line	:	4112 LOWER SAXON AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-4467
Country	:	US
Telephone Number	:	702-210-9423
Fax Number	:	702-360-6544

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREW K MENSAH
Credential	:
Telephone Number	:	702-210-9423

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	07/31/2008

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