DR. MASHIKO JENNY TAVARES

Address: 1711 Songlight Court, Las Vegas, NV 89117
Phone: 7024501120

DR. MASHIKO JENNY TAVARES (NPI# 1336762525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336762525
Entity Type Individual
Full Name DR. MASHIKO JENNY TAVARES
Other Name MASHIKO JENNY LEKANA
Credential M.D., MPH. R.S.T
Practice Address 1711 Songlight Court
Las Vegas
NV 89117
Mailing Address 45 Sunglow Lane
Las Vegas
NV 89135
Practice Telephone 7024501120
Practice Fax Number 7023048255
Mailing Telephone 7023557822
Mailing Fax Number 7023048255
Enumeration Date 2020-05-21
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173F00000X Sleep Specialist, PhD Other Service Providers

Office Location

Street Address 1711 SONGLIGHT COURT
City LAS VEGAS
State NV
Zip Code 89117

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Taxonomy Information

Taxonomy Code 173F00000X
Grouping Other Service Providers
Classification Sleep Specialist, PhD

Taxonomy Definition

Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.
Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org

Competitor

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City LAS VEGAS
Zip Code 89117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.