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NPI Code Detail

MEDICARE: TENAYA CARDIOVASCULAR (GABASHA) PLLC

MEDICARE: TENAYA CARDIOVASCULAR (GABASHA) PLLC
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
1207RI0011XInterventional Cardiology Physician

General Provider Information

NPI Number : 1538974233
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENAYA CARDIOVASCULAR (GABASHA) PLLC
Provider Business Mailing Address
First Line : 410 S RAMPART BLVD STE 350
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-5730
Country : US
Telephone Number : 702-366-6000
Fax Number :
Provider Business Practice Location Address
First Line : 410 S RAMPART BLVD STE 350
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-5730
Country : US
Telephone Number : 702-366-6000
Fax Number :
Authorized Official
Title or Position : CEO
Name : JEFFREY LEVISMAN
Credential :
Telephone Number : 310-927-6910
Provider Enumeration Date : 02/10/2025
Last Update Date : 02/10/2025

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Directions to “TENAYA CARDIOVASCULAR (GABASHA) PLLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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