MEDICARE: ZENITH HEALTH INC

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003641895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENITH HEALTH INC

Provider Business Mailing Address
First Line	:	9555 S EASTERN AVE STE 260
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8008
Country	:	US
Telephone Number	:	702-447-0333
Fax Number	:	702-447-0340

Provider Business Practice Location Address
First Line	:	9555 S EASTERN AVE STE 260
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8008
Country	:	US
Telephone Number	:	702-447-0333
Fax Number	:	702-447-0340

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	ROWENA PANGANIBAN
Credential	:
Telephone Number	:	702-769-9368

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	09/03/2024

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Directions to “ZENITH HEALTH INC ” Practice Location

Language	Start Address	Practice Location

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