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Organization
STARK MEDICINE KHURANA JEIDER PLLC
Active
Organization
STARK MEDICINE KHURANA JEIDER PLLC
Active
Other names
Nevada Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BENJAMIN JAMES JEIDER (OWNER)
(702) 440-8430
Entity
Organization
Contact information
Practice address
6600 W CHARLESTON BLVD STE 122, LAS VEGAS, NV 89146-1067
(702) 440-8840
(866) 518-0781
Mailing address
840 S RANCHO DR STE 4-903, LAS VEGAS, NV 89106-3837
(702) 440-8840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902149248
—
NV
Enumeration date
04/26/2021
Last updated
09/18/2026
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