Imelda Chi Sam
R MUTHAIAH MD PC


Address: 5061 N Rainbow Blvd, Suite 180, Las Vegas, NV 89130-1689
Phone: 7022208001

Imelda Chi Sam (NPI# 1053819755, PAC ID# 4880957745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1053819755
PAC ID by PECOS 4880957745
Professional Enrollment ID I20180406001475
Full Name Imelda Chi Sam
Organization Legal Name R MUTHAIAH MD PC
Address 5061 N Rainbow Blvd
Suite 180
Las Vegas
NV 89130-1689
Phone Number 7022208001
Gender M
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3577597046
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
5061 N Rainbow Blvd, Suite 180, Las Vegas, NV 89130-1689 7022208001 R MUTHAIAH MD PC

Organization Information

Organization Legal Name R MUTHAIAH MD PC
Physicians 1

Office Location

Street Address 5061 N RAINBOW BLVD
SUITE 180
City LAS VEGAS
State NV
Zip 89130-1689

Physicians in the same location

Name Specialty Organization Address
Ramanathan Muthaiah Internal Medicine 5061 N Rainbow Blvd, Suite 180, Las Vegas, NV 89130-1689

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Competitor

Search similar physicians

City LAS VEGAS
Zip Code 89130
Specialty NURSE PRACTITIONER
City + Specialty LAS VEGAS + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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