MEDICARE: BEST NEVADA CLINIC LLC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1295520716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST NEVADA CLINIC LLC

Provider Business Mailing Address
First Line	:	1800 LEWIS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5106
Country	:	US
Telephone Number	:	702-573-6762
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 LEWIS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5106
Country	:	US
Telephone Number	:	702-573-6762
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SASUKE UCHIHA
Credential	:	OWNER
Telephone Number	:	702-573-6762

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “BEST NEVADA CLINIC LLC ” Practice Location

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