KLINIC MEDICAL PLLC – NPI #1740980630
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KLINIC MEDICAL PLLC is a provider located in LAS VEGAS, NV. NPPES has assigned the NPI number 1740980630 to KLINIC MEDICAL PLLC on March 08, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 2 years ago on Apr 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KLINIC MEDICAL PLLC below.

NPI Profile for
KLINIC MEDICAL PLLC

NPI Number
1740980630
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KLINIC MEDICAL PLLC
Primary location
1930 VILLAGE CENTER CIR # 3-6136
LAS VEGAS, NV 89134-6299
Phone: (206) 495-0724 Fax: (877) 823-3570
1 Other location(s):
780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone: (206) 495-0724
Mailing address
1201 2ND AVE STE 900
SEATTLE, WA 98101-3020
Phone: Fax:
Organization Subpart
No
Authorized Official
ANEEL URSANI
PRESIDENT
Phone: (206) 495-0724
Updated
Certification Date
Apr 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
207QA0401X
- Family Medicine / Addiction Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.