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General NPI Number Information
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NPI Number | 1992331557
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Entity Type | Organization
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Legal Business Name | PRIME HOSPITALISTS LLC
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1721 E CHARLESTON BLVD FL 3
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City | LAS VEGAS
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State | NV
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Zip | 89104-1902
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Country | US
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Telephone | 26-850-6207
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Fax | 702-685-9674
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Provider Business Mailing Address
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Address Line | 1721 E CHARLESTON BLVD FL 3
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City | LAS VEGAS
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State | NV
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Zip | 89104-1902
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Country | US
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Telephone | 702-685-0620
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Fax | 702-685-9674
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. BERNAND ADDO-QUAYE
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Credential | MD
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Telephone | 702-303-2770
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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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