MEDICARE: PULMONARY INTENSIVISTS OF SOUTHERN NEVADA 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
1	207RP1001X	Pulmonary Disease Physician	DO1586	NV
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	DO1586	NV

General Provider Information

NPI Number	:	1851826838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY INTENSIVISTS OF SOUTHERN NEVADA PLLC

Provider Business Mailing Address
First Line	:	3007 W HORIZON RIDGE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4199
Country	:	US
Telephone Number	:	725-226-8033
Fax Number	:	702-718-7980

Provider Business Practice Location Address
First Line	:	3007 W HORIZON RIDGE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4199
Country	:	US
Telephone Number	:	725-226-8033
Fax Number	:	702-718-7980

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEVIN A TSUI
Credential	:	D.O.
Telephone Number	:	510-685-0470

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	02/10/2026

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