MEDICARE: AMELI CARDIOLOGY LTD

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	7428	NV

General Provider Information

NPI Number	:	1255764429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMELI CARDIOLOGY LTD

Provider Business Mailing Address
First Line	:	400 S RAMPART BLVD
Second Line	:	SUITE 240
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5721
Country	:	US
Telephone Number	:	702-906-1100
Fax Number	:	702-906-1110

Provider Business Practice Location Address
First Line	:	400 S RAMPART BLVD
Second Line	:	SUITE 240
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5721
Country	:	US
Telephone Number	:	702-906-1100
Fax Number	:	702-906-1110

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SEAN S AMELI
Credential	:	MD
Telephone Number	:	702-906-1100

Provider Enumeration Date	:	08/12/2013
Last Update Date	:	02/04/2015

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