MEKDELAWIT ASCHENAKI (NPI# 1063679249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063679249 |
| Entity Type | Individual |
| Full Name | MEKDELAWIT ASCHENAKI |
| Credential | MD |
| Practice Address |
10105 Banbury Cross Dr Ste 250 Las Vegas NV 89144-6648 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7023607600 |
| Practice Fax Number | 7023633814 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
15393 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2009815 | 05 | |
| WA | LABOR AND INDUSTRIES | 0267736 | 01 |
| Street Address |
10105 BANBURY CROSS DR STE 250 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-6648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747793 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 7455 W. Washington Ave., Ste. 420, Las Vegas, NV 89128-4337 | 2018-07-20 |
| 1629434949 | City of Hope Cardiovascular Care and Therapeutics | Internal Medicine | 840 S Rancho Dr # 4-340, Las Vegas, NV 89106-3837 | 2016-01-04 |
| 1164859120 | Cavallini LLC | Internal Medicine | 7575 Norman Rockwell Ln, Ste 110, Las Vegas, NV 89143-6014 | 2013-10-03 |
| 1558705004 | Dalia Farouk Hawwass | Internal Medicine | 700 E Silverado Ranch Blvd Ste 170, Las Vegas, NV 89183-7518 | 2013-04-25 |
| 1659680635 | Silver State Cardiology, LLC | Internal Medicine | 4200 W Charleston Blvd Bldg A, Las Vegas, NV 89102-1625 | 2010-09-24 |
| 1588975544 | Jawad Ghazanfar Kiani | Internal Medicine | 3121 S Maryland Pky, Suite 512, Las Vegas, NV 89109 | 2010-06-24 |
| 1124278064 | Nevada Heart and Vascular Center Resh LLP | Internal Medicine | 1820 E Desert Inn, Suite A, Las Vegas, NV 89169-3249 | 2008-09-29 |
| 1851541791 | Nevada Heart and Vascular Center, Resh LLP | Internal Medicine | 500 E. Windmill Ln., Suite 140, Las Vegas, NV 89123-1847 | 2008-09-29 |
| 1922287168 | Deepak Sharma, M.d., Ltd. | Internal Medicine | 4275 Burnham Ave Ste 128, Las Vegas, NV 89119-5400 | 2007-10-24 |
| 1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.