Provider Demographics
NPI:1801899968
Name:AMELI, SEAN S (MD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:S
Last Name:AMELI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:400 S RAMPART BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-5721
Mailing Address - Country:US
Mailing Address - Phone:702-906-1100
Mailing Address - Fax:702-906-1110
Practice Address - Street 1:400 S RAMPART BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5721
Practice Address - Country:US
Practice Address - Phone:702-906-1100
Practice Address - Fax:702-906-1110
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2023-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV7428207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVE47630Medicare UPIN
NV06WCGXW07Medicare PIN
NVE47630Medicare UPIN