Provider Demographics
NPI:1427892546
Name:NEVADA INTENSIVE CARE EXPERTS, A MULTI SPECIALTY PLLC
Entity type:Organization
Organization Name:NEVADA INTENSIVE CARE EXPERTS, A MULTI SPECIALTY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JORDANA
Authorized Official - Middle Name:NOREEN
Authorized Official - Last Name:CHETA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-504-0283
Mailing Address - Street 1:9101 W. SAHARA AVE
Mailing Address - Street 2:STE 105, #1521
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5799
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2500 N TENAYA WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0482
Practice Address - Country:US
Practice Address - Phone:702-504-0283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty