MEDICARE: ALPHONSA STEPHEN M.D., P.C.

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	208000000X	Pediatrics Physician	9479	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	:	1689780116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHONSA STEPHEN M.D., P.C.

Provider Business Mailing Address
First Line	:	5775 S FORT APACHE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5627
Country	:	US
Telephone Number	:	702-450-0003
Fax Number	:	702-795-3306

Provider Business Practice Location Address
First Line	:	5775 S FORT APACHE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5627
Country	:	US
Telephone Number	:	702-450-0003
Fax Number	:	702-795-3306

Authorized Official
Title or Position	:	PROVIDER
Name	:	ALPHONSA STEPHEN
Credential	:
Telephone Number	:	702-450-0003

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	03/14/2013

Similar Medicare Providers

1124064209 — DR. ALPHONSA M STEPHEN M.D.
Practice Location Address:

5775 S FORT APACHE RD STE 110
LAS VEGAS, NV
89148-5627

Practice Phone: 702-450-0003
Practice Fax: 702-795-3306

1366974750 — NERIY IZKHAKOV MD, MPH
Practice Location Address:

5775 S FORT APACHE RD STE 120
LAS VEGAS, NV
89148-5627

Practice Phone: 702-874-8414
Practice Fax:

1255928693 — SOUTHERN HILLS PELVIC AND PHYSICAL THERAPY PLLC
Practice Location Address:

5775 S FORT APACHE RD STE 120
LAS VEGAS, NV
89148-5627

Practice Phone: 702-331-1654
Practice Fax:

1326786856 — IZKHAKOV MD, PLLC
Practice Location Address:

5775 S FORT APACHE RD STE 120
LAS VEGAS, NV
89148-5627

Practice Phone: 702-874-8414
Practice Fax: 702-637-4124

1801859855 — DR. WILLIAM GEORGE PAPPAS D.D.S.
Practice Location Address:

2585 S JONES BLVD , SUITE 1B
LAS VEGAS, NV
89146-5627

Practice Phone: 702-367-7133
Practice Fax: 702-367-2383

1336300755 — LESLIE A CALIANNO
Practice Location Address:

2585 S JONES BLVD , SUITE 2F
LAS VEGAS, NV
89146-5627

Practice Phone: 702-248-4547
Practice Fax:

Directions to “ALPHONSA STEPHEN M.D., P.C. ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.