MEDICARE: KARNOVA COLINARES

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	171W00000X	Contractor	070017773	IL
2	225100000X	Physical Therapist	2824	NV

General Provider Information

NPI Number	:	1407139207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARNOVA COLINARES

Provider Business Mailing Address
First Line	:	7375 PRAIRIE FALCON RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0810
Country	:	US
Telephone Number	:	702-869-4401
Fax Number	:	702-869-9904

Provider Business Practice Location Address
First Line	:	7375 PRAIRIE FALCON RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0810
Country	:	US
Telephone Number	:	702-869-4401
Fax Number	:	702-869-9904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	03/17/2018

Similar Medicare Providers

1144183906 — CATHY LING
Practice Location Address:

7375 PRAIRIE FALCON RD STE 150
LAS VEGAS, NV
89128-0810

Practice Phone: 702-329-0125
Practice Fax:

1568326098 — ALEANNA DREW
Practice Location Address:

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LAS VEGAS, NV
89128-0810

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Practice Fax:

1922116771 — BRIAN J CITRO MD
Practice Location Address:

7375 PRAIRIE FALCON RD , SUITE 150
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89128-0810

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1255621322 — CHO KIDNEY & HYPERTENSION CENTER
Practice Location Address:

7375 PRAIRIE FALCON RD STE 150
LAS VEGAS, NV
89128-0810

Practice Phone: 702-664-7676
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1740667377 — JILL MIRKIS PTA
Practice Location Address:

7375 PRAIRIE FALCON RD STE 120
LAS VEGAS, NV
89128-0810

Practice Phone: 702-869-4401
Practice Fax:

1326426362 — MRS. MARIE ROSELLE DESEO
Practice Location Address:

7375 PRAIRIE FALCON RD STE 120
LAS VEGAS, NV
89128-0810

Practice Phone: 702-869-4401
Practice Fax: 702-869-9904

Directions to “ KARNOVA COLINARES ” Practice Location

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