Provider Demographics
NPI:1750846614
Name:TALI ARIK MD PLLC
Entity Type:Organization
Organization Name:TALI ARIK MD PLLC
Other - Org Name:PAHRUMP VALLEY CARDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-467-3711
Mailing Address - Street 1:3370 S NEVADA HIGHWAY 160 STE 10
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-5373
Mailing Address - Country:US
Mailing Address - Phone:775-467-3711
Mailing Address - Fax:775-467-3712
Practice Address - Street 1:3370 S NEVADA HIGHWAY 160 STE 10
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5373
Practice Address - Country:US
Practice Address - Phone:775-467-3711
Practice Address - Fax:775-467-3712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1295755734OtherNPPES