Organization
S P A
Active
Organization
S P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT VALERA DO (OWNER)
(630) 890-2641
Entity
Organization
Contact information
Practice address
20 E SERENE AVE, UNIT 106, LAS VEGAS, NV 89123-3766
(630) 890-2641
Mailing address
20 E SERENE AVE, UNIT 106, LAS VEGAS, NV 89123-3766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO1528
NV
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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