Organization
ATANS INC
Active
Other names
Fountain medical associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHIMA OSUOHA MD (PRESIDENT/CEO)
(205) 249-8491
Entity
Organization
Contact information
Practice address
3599 S EASTERN AVE, LAS VEGAS, NV 89169-3344
(702) 522-0701
(702) 522-0701
Mailing address
3328 HORNED LARK CT, LAS VEGAS, NV 89117-7712
(205) 249-8491
(702) 522-0701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2020
Last updated
06/05/2020
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