Individual
DR. PREM K KITTUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N BUFFALO DR, SUITE 100, LAS VEGAS, NV 89145-0310
(702) 489-9000
(702) 489-9001
Mailing address
401 N BUFFALO DR STE 100, LAS VEGAS, NV 89145-0397
(702) 489-9000
(702) 489-9001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10827
NV
207RC0000X
Cardiovascular Disease Physician
MD069834L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503391
—
NV
01
—
BM4472
MEDICARE ID TYPE
NV
Enumeration date
07/31/2006
Last updated
02/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us