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Organization
STARK MEDICINE KHURANA JEIDER PLLC
Active
Organization
STARK MEDICINE KHURANA JEIDER PLLC
Active
Other names
Nevada Mental Health, Nevada Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BENJAMIN JAMES JEIDER (OWNER)
(702) 350-2906
Entity
Organization
Contact information
Practice address
6600 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89146-1067
(725) 246-1483
(866) 518-0781
Mailing address
840 S RANCHO DR STE 4-903, LAS VEGAS, NV 89106-3837
(702) 440-8840
(866) 518-0781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/21/2018
Last updated
09/18/2026
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