SUNIL KALLA (NPI# 1699726240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699726240 |
| Entity Type | Individual |
| Full Name | SUNIL KALLA |
| Credential | MD |
| Practice Address |
2779 W Horizon Ridge Pkwy Suite #240 Henderson NV 89052-4184 |
| Mailing Address |
700 E Silverado Ranch Blvd Suite #170 Las Vegas NV 89183-7516 |
| Practice Telephone | 7022406482 |
| Practice Fax Number | 7022408529 |
| Mailing Telephone | 7022406482 |
| Mailing Fax Number | 7022408529 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9939 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RETIRED RAILROAD MEDICARE PIN | V102532 | 01 | |
| NV | MEDICARE GROUP PTAN | V103055 | 01 |
| NV | TAX ID# | 20-0562668 | 01 |
| Street Address |
2779 W HORIZON RIDGE PKWY SUITE #240 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225572100 | Alex Jeremy Jacobs | Physical Therapist | 2779 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4184 | 2016-12-12 |
| 1124451851 | Rachel Elizabeth Hajda | Physical Therapist | 2779 W Horizon Ridge Pkwy, #10, Henderson, NV 89052-4184 | 2013-08-16 |
| 1124375100 | Amanda Henriques | Physical Therapist | 2779 W Horizon Ridge Pkwy, Henderson, NV 89052-4184 | 2012-08-09 |
| 1396090577 | Coronado Surgical Recovery Suites | Long Term Care Hospital | 2779 W Horizon Ridge Pkwy, Ste 130, Henderson, NV 89052-4184 | 2012-07-13 |
| 1356696553 | Coronado Surgical LLC | Long Term Care Hospital | 2779 W Horizon Ridge Pkwy, Suite 130, Henderson, NV 89052-4184 | 2012-07-13 |
| 1730484882 | Orthopaedic Solutions LLC | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052-4184 | 2011-01-21 |
| 1235363987 | Coronado Surgery Center, LLC | Clinic/Center | 2779 W Horizon Ridge Pkwy, Suite 140, Henderson, NV 89052-4184 | 2009-05-11 |
| 1801046552 | Zinn2020 LLC | Ophthalmology | 2779 W Horizon Ridge Pkwy, Suite 2020, Henderson, NV 89052-4184 | 2008-09-30 |
| 1336396621 | Kayla Amber Fleet | Physical Therapist | 2779 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052 | 2008-08-19 |
| 1487788873 | Crovetti Bone and Joint Institute of Southern Nevada | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy, Ste. 200, Henderson, NV 89052-4380 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| 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 |
|---|---|---|---|---|
| 1164909396 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 2839 St. Rose Pkwy., Ste. 160, Henderson, NV 89052-4849 | 2018-07-20 |
| 1255823571 | Ram K Singh Md Ltd | Internal Medicine | 10410 S Eastern Ave Ste 210, Henderson, NV 89052-4195 | 2018-06-01 |
| 1710329776 | Jovil Kannampuzha | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2013-07-19 |
| 1285837997 | Alfonso Li Tiu | Internal Medicine | 3032 Palatine Terrace Dr, Henderson, NV 89052-3000 | 2007-06-08 |
| 1518056464 | Anjum Ismail | Internal Medicine | 2641 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89052-4830 | 2006-10-11 |
| 1053411165 | Sydney Glen Short | Internal Medicine | 568 Ruin Creek Rd Ste 128, Henderson, NC 27536-5921 | 2006-09-25 |
| 1366540973 | Sanjay Vohra | Internal Medicine | 8965 S Pecos Rd, Suite 12a, Henderson, NV 89074 | 2006-09-20 |
| 1205864865 | Joshua G Leichman | Internal Medicine | 2865 Siena Heights Dr Ste 331, Henderson, NV 89052-4171 | 2006-06-30 |
| 1205882339 | Chandrasekhar R. Narala | Internal Medicine | 2847 St Rose Pkwy, Ste 100, Henderson, NV 89052 | 2006-05-26 |
| 1417908161 | Sunil Kalla, M.d., Inc. PC | Internal Medicine | 3031 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89052-3808 | 2006-05-15 |
| Find all providers in HENDERSON | ||||
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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.