NPI 1902403793 · live from the CMS NPI Registry
Seasons Healthcare, INC.
Hospitalist in Las Vegas, NV. National Provider Identifier 1902403793, active.
NPI record
| NPI | 1902403793 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospitalist 208M00000X |
| Practice location | 6467 Carmel Creek Ave, Las Vegas, NV 89139 |
| Practice phone | 248-974-1350 |
| Mailing address | Po Box 778413, Henderson, NV 89077 |
| Enumerated | October 5, 2020 |
| Last updated | May 1, 2023 |
| Authorized official | Jill Levy, Credentialing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Hospitalist primary | 208M00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.