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General NPI Number Information
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NPI Number | 1093285462
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Entity Type | Organization
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Legal Business Name | RELIANT PHYSICIANS (KUMAR) PLLC
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 1180 N TOWN CENTER DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89144-6308
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Country | US
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Telephone | 702-202-2060
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Fax | 702-605-2892
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Provider Business Mailing Address
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Address Line | 1180 N TOWN CENTER DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89144-6308
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Country | US
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Telephone | 702-202-2060
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Fax | 702-605-2892
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Authorized Official
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Title or Position | OWNER
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Name | SHIVESH SRI KUMAR
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Credential | MD
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Telephone | 702-202-2060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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