Provider Demographics
NPI:1871541334
Name:INPATIENT PHYSICIANS NETWORK OF NEVADA
Entity type:Organization
Organization Name:INPATIENT PHYSICIANS NETWORK OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BACCHUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-932-8500
Mailing Address - Street 1:700 E WARM SPRINGS RD
Mailing Address - Street 2:#302
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4305
Mailing Address - Country:US
Mailing Address - Phone:702-216-3350
Mailing Address - Fax:702-216-3356
Practice Address - Street 1:700 E WARM SPRINGS RD
Practice Address - Street 2:#302
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4305
Practice Address - Country:US
Practice Address - Phone:702-216-3350
Practice Address - Fax:702-216-3356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV35345Medicare PIN
NV35345Medicare ID - Type Unspecified