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Contact Information

POKROY MEDICAL GROUP OF NEVADA, LTD.
3001 SAINT ROSE PKWY
HENDERSON, NV89052-3839
 Phone: 702-616-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for POKROY MEDICAL GROUP OF NEVADA, LTD.

NPI Number 1235890062
LBN Legal business name POKROY MEDICAL GROUP OF NEVADA, LTD.
Authorized official KRISTINA DEETER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2022
Last updated 01/04/2022 - About 4 years ago
Identifiers
NV Medicaid 1992809412
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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