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Contact Information

PREMIUM HEALTH PROFESSIONALS LLC
211 MEDIANOCHE ST
LAS VEGAS, NV89138-6364
 Phone: 646-491-3035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Child Abuse Pediatrics

2080C0008X 37 Physician/Pediatric Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Obesity Medicine

2080B0002X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Primary Care

261QP2300X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for PREMIUM HEALTH PROFESSIONALS LLC · (Female)

NPI Number 1942051511
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2024
Last updated 04/01/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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