Healthcare Provider Details

I. General information

NPI: 1013113158
Provider Name (Legal Business Name): NIKOS INPATIENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 E PRATER WAY
SPARKS NV
89434-9641
US

IV. Provider business mailing address

PO BOX 37640
PHILADELPHIA PA
19101-5240
US

V. Phone/Fax

Practice location:
  • Phone: 775-352-5301
  • Fax:
Mailing address:
  • Phone: 214-712-2403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberNA
License Number State

VIII. Authorized Official

Name: DR. JULES A SILVER
Title or Position: OWNER
Credential:
Phone: 214-712-2400