Provider Demographics
NPI:1427012806
Name:REBENTISH, ALKA PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALKA
Middle Name:PETER
Last Name:REBENTISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1450 W HORIZON RIDGE PKWY
Mailing Address - Street 2:B304 #668
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012
Mailing Address - Country:US
Mailing Address - Phone:702-380-4242
Mailing Address - Fax:702-380-4141
Practice Address - Street 1:6088 S DURANGO DR
Practice Address - Street 2:#D-100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-1780
Practice Address - Country:US
Practice Address - Phone:702-380-4242
Practice Address - Fax:702-380-4141
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2010-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV8061207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2002678Medicaid
NV2002678Medicaid
V30297Medicare ID - Type Unspecified