Organization
POPULAR MEDICAL CONSULTANT CORP
Active
Organization
POPULAR MEDICAL CONSULTANT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER KATSUMI KAMISATO M.D. (MEDICAL DIRECTOR)
(702) 458-3800
Entity
Organization
Contact information
Practice address
1301 MARYLAND PARKWAY, LAS VEGAS, NV 89104
(702) 458-3800
(702) 642-5671
Mailing address
1301 MARYLAND PARKWAY, LAS VEGAS, NV 89104
(702) 458-3800
(702) 642-5671
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
6939
NV
207Q00000X
Family Medicine Physician
6939
NV
207R00000X
Internal Medicine Physician
Primary
6939
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019754
—
NV
Enumeration date
08/13/2007
Last updated
05/15/2012
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