Provider Demographics
NPI:1770025066
Name:A-P MEDICAL GROUP IROHA PLLC
Entity Type:Organization
Organization Name:A-P MEDICAL GROUP IROHA PLLC
Other - Org Name:A P MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHUKWUEMEKA
Authorized Official - Middle Name:O
Authorized Official - Last Name:IROHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-971-3400
Mailing Address - Street 1:2110 E FLAMINGO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5191
Mailing Address - Country:US
Mailing Address - Phone:702-971-3400
Mailing Address - Fax:702-971-3401
Practice Address - Street 1:2110 E FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5191
Practice Address - Country:US
Practice Address - Phone:702-971-3400
Practice Address - Fax:702-971-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2024-04-02
Deactivation Date:2022-04-11
Deactivation Code:
Reactivation Date:2022-06-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100551032Medicaid