MEDICARE: KOSE ISEH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LA2100X	Acute Care Nurse Practitioner
2	363LG0600X	Gerontology Nurse Practitioner
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1881203073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOSE ISEH PLLC

Provider Business Mailing Address
First Line	:	10470 W CHEYENNE AVENUE
Second Line	:	STE 115, PMB 311
City	:	LAS VEGAS
State	:	NV
Zip	:	89129
Country	:	US
Telephone Number	:	702-202-4534
Fax Number	:

Provider Business Practice Location Address
First Line	:	6166 N DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3912
Country	:	US
Telephone Number	:	725-223-4100
Fax Number	:

Authorized Official
Title or Position	:	OWNER OF ENTITY
Name	:	DR. MFON PETER ISEH
Credential	:	MD
Telephone Number	:	702-768-9291

Provider Enumeration Date	:	07/23/2020
Last Update Date	:	03/23/2021

Similar Medicare Providers

1326331893 — WALLY FOLAD M.D.
Practice Location Address:

6166 N DURANGO DR
LAS VEGAS, NV
89149-3912

Practice Phone: 725-223-4100
Practice Fax: 865-560-7110

1780077644 — ANGELICA CABRAL
Practice Location Address:

6166 N DURANGO DR
LAS VEGAS, NV
89149-3912

Practice Phone: 725-223-4100
Practice Fax:

1134750805 — DR. ASHLEY MARQUEZ OTD, OTR/L
Practice Location Address:

6166 N DURANGO DR
LAS VEGAS, NV
89149-3912

Practice Phone: 725-223-4100
Practice Fax:

1407733975 — HAITHAM ELCONSUL MD LLC
Practice Location Address:

6166 N DURANGO DR
LAS VEGAS, NV
89149-3912

Practice Phone: 702-900-1084
Practice Fax:

1376772467 — INGRID HODEN
Practice Location Address:

151 W BROOKS AVE
NORTH LAS VEGAS, NV
89030-3912

Practice Phone: 702-701-1057
Practice Fax:

1265734040 — MR. ALBERT E WHITE
Practice Location Address:

3912 WELTER AVE
LAS VEGAS, NV
89104-5076

Practice Phone: 702-204-0388
Practice Fax: 702-457-8000

Directions to “KOSE ISEH PLLC ” 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.