Healthcare Provider Details

I. General information

NPI: 1255827754
Provider Name (Legal Business Name): MS. CHAKHAN RAMINA DEWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 LINN LN
LAS VEGAS NV
89110-4952
US

IV. Provider business mailing address

360 LINN LN
LAS VEGAS NV
89110-4952
US

V. Phone/Fax

Practice location:
  • Phone: 951-990-5979
  • Fax:
Mailing address:
  • Phone: 951-990-5979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberCHW2-5127
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: