MEDICARE: DR. ALKA PETER REBENTISH MD

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	207RI0200X	Infectious Disease Physician	8061	NV

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	:	1427012806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALKA PETER REBENTISH MD

Provider Business Mailing Address
First Line	:	1450 W HORIZON RIDGE PKWY
Second Line	:	B304 #668
City	:	HENDERSON
State	:	NV
Zip	:	89012
Country	:	US
Telephone Number	:	702-380-4242
Fax Number	:	702-380-4141

Provider Business Practice Location Address
First Line	:	6088 S DURANGO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1780
Country	:	US
Telephone Number	:	702-380-4242
Fax Number	:	702-380-4141

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	04/24/2025

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