MEDICARE: NEVADA HEART AND VASCULAR CENTER RESH LLP

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	207RC0000X	Cardiovascular Disease Physician
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1164909396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA HEART AND VASCULAR CENTER RESH LLP

Provider Business Mailing Address
First Line	:	801 S RANCHO DR STE E6
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:	702-804-0957

Provider Business Practice Location Address
First Line	:	2839 ST. ROSE PKWY., STE. 160
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4849
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:	702-240-8529

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	WILLIAM HARRY RESH
Credential	:	M.D.
Telephone Number	:	702-240-6482

Provider Enumeration Date	:	07/20/2018
Last Update Date	:	04/12/2023

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