Organization
SUMMIT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVESH KUMAR MD (OWNER)
(702) 370-3497
Entity
Organization
Contact information
Practice address
11035 LAVENDER HILL DR, STE 160-435, LAS VEGAS, NV 89135-2955
(702) 835-9856
(702) 629-1620
Mailing address
11035 LAVENDER HILL DR, STE 160-435, LAS VEGAS, NV 89135-2955
(702) 370-3497
(702) 629-1620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14464
NV
Other
Enumeration date
12/28/2016
Last updated
07/17/2017
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