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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

NPI # 1942051511
LBN Legal business name PREMIUM HEALTH PROFESSIONALS LLC
Authorized official PEACE IBEKWE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2024
Last updated 04/01/2024 - 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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