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Contact Information

QUICKMD MEDICAL GROUP PA
504 SAN PABLO DR APT 202
LAS VEGAS, NV89104-2737
 Phone: 888-878-4256
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for QUICKMD MEDICAL GROUP PA

NPI Number 1356061881
LBN Legal business name QUICKMD MEDICAL GROUP PA
Authorized official KATRINA MERRITT - (SENIOR MANAGER, CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2022
Last updated 01/15/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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