Organization
STARK MEDICINE MCKAY 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
840 S RANCHO DR STE 4-903, LAS VEGAS, NV 89106-3837
(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
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902149248
—
NV
Enumeration date
04/26/2021
Last updated
12/15/2022
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