Provider Demographics
NPI:1114262003
Name:KRISTI A ASANTE MD PC
Entity Type:Organization
Organization Name:KRISTI A ASANTE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ASANTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-806-6768
Mailing Address - Street 1:5835 EGAN CREST DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1225
Mailing Address - Country:US
Mailing Address - Phone:702-806-6768
Mailing Address - Fax:
Practice Address - Street 1:10300 W CHARLESTON BLVD # 13-250
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-1037
Practice Address - Country:US
Practice Address - Phone:702-825-7374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10271207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty