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NPI Code Detail

MEDICARE: GICARE LLC

MEDICARE: GICARE 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
1207RG0100XGastroenterology Physician10807NV

General Provider Information

NPI Number : 1578849998
Entity Type Code : Organization
Provider Name (Legal Business Name) : GICARE LLC
Provider Business Mailing Address
First Line : 7437 S EASTERN AVE # 4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1538
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7437 S EASTERN AVE # 4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1538
Country : US
Telephone Number : 702-256-3637
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : SNEHAL ROHIT DESAI
Credential : MD
Telephone Number : 702-256-3637
Provider Enumeration Date : 10/31/2011
Last Update Date : 10/31/2011

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Directions to “GICARE LLC ” Practice Location

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