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MIRKIL MEDICAL GROUP NPI 1669562849


NPI Information

NPI: 1669562849
Provider Name: MIRKIL MEDICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4275 BURNHAM AVE
SUITE #127A
LAS VEGAS, NV
ZIP 89119
Phone: (702) 734-6363
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MIRKIL MEDICAL GROUP is a specialist in Las Vegas, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MIRKIL MEDICAL GROUP NPI is 1669562849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4275 BURNHAM AVE
SUITE #127A
LAS VEGAS, NV
ZIP 89119-488
Phone: (702) 734-6363
Fax: (702) 734-6374

The provider's authorized official is V. Jerome Mirkil .
The authorized official title is Owner and has the following contact phone number (702) 734-6363.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist4719NEVADAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.