Provider Demographics
NPI:1366652513
Name:STELJES CARDIOLOGY PC
Entity Type:Organization
Organization Name:STELJES CARDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CO.
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:STELJES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-492-1450
Mailing Address - Street 1:2839 SAINT ROSE PKWY
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4848
Mailing Address - Country:US
Mailing Address - Phone:702-492-1450
Mailing Address - Fax:702-492-1978
Practice Address - Street 1:2839 SAINT ROSE PKWY
Practice Address - Street 2:SUITE 160
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4848
Practice Address - Country:US
Practice Address - Phone:702-492-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6360207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002580Medicaid
NV002002580Medicaid
NVV40126Medicare ID - Type Unspecified