Organization
PHYSICIAN ASSOCIATES OF NEVADA LTD
Active
Organization
PHYSICIAN ASSOCIATES OF NEVADA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD RADIVAN PA-C (MANAGING DIRECTOR)
(702) 307-5522
Entity
Organization
Contact information
Practice address
2900 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5014
(702) 307-5522
(702) 991-7258
Mailing address
2900 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5014
(702) 307-5522
(702) 991-7258
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up