Bacchus Wakefield Kahan PC

NPI #1134628480 in Henderson, Nevada

Provider Information

NPI Number: 1134628480
Entity Type: Organization
Organization Name: Bacchus Wakefield Kahan PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 1, 2018
Last Updated: Sep 26, 2022

Practice Location

Address: 100 N GREEN VALLEY PKWY STE 239
City: Henderson
State: Nevada
ZIP Code: 89074-7704
Phone: (702) 910-3950

Authorized Official

Name: AMIR BACCHUS, MD
Title: CMO
Phone: (702) 910-3950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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