Organization
J SHERMAN TATE MD LTD
Active
Other names
Imani Health Care Associates PA
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SHERMAN TATE JR. MD (CEO)
(702) 388-4292
Entity
Organization
Contact information
Practice address
501 SOUTH RANCHO DRIVE, SUITE E-32, LAS VEGAS, NV 89106-4833
(701) 388-4292
(702) 388-2922
Mailing address
PO BOX 270700, LAS VEGAS, NV 89127-4700
(702) 388-4292
(702) 388-2922
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501136
—
NV
Enumeration date
12/05/2006
Last updated
10/28/2011
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