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PREMIUM HEALTH PROFESSIONALS LLC NPI 1942051511


NPI Information

NPI: 1942051511
Provider Name: PREMIUM HEALTH PROFESSIONALS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
211 MEDIANOCHE ST
LAS VEGAS, NV
ZIP 89138
Phone: (646) 491-3035
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PREMIUM HEALTH PROFESSIONALS LLC is a pediatrics in Las Vegas, NV. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PREMIUM HEALTH PROFESSIONALS LLC NPI is 1942051511. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 MEDIANOCHE ST
LAS VEGAS, NV
ZIP 89138-364
Phone: (646) 491-3035

The provider's authorized official is Peace Ibekwe .
The authorized official title is Owner and has the following contact phone number (646) 491-3035.

The enumeration date for this NPI number is 4/1/2024 and was last updated on 4/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes
22080B0002XPediatricsObesity MedicineNo
32080C0008XPediatricsChild Abuse PediatricsNo
42080P0203XPediatricsPediatric Critical Care MedicineNo
52080P0204XPediatricsPediatric Emergency MedicineNo
6261QM1300XClinic/CenterMulti-SpecialtyNo
7261QP2300XClinic/CenterPrimary CareNo
8261QU0200XClinic/CenterUrgent CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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