HomeNPI Verification

NPI Verification

National Provider Identifier: 1134628480

Bacchus Wakefield Kahan PC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (6)

Internal Medicine

Code: 207R00000X

General Practice

Code: 208D00000X

Clinic/Center, Urgent Care

Code: 261QU0200X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

100 N GREEN VALLEY PKWY STE 239

HENDERSON, NV 890747704

Phone: 702-910-3950

NPI Enumeration Date

February 1, 2018

NPI Number

1134628480

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry