Elite MD
Internal Medicine in Las Vegas, NV. Organization (NPI-2).
NPI number1942829346
StatusActive
Last updated in NPPESJan 27, 2026
Details
- NPI
- 1942829346
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite MD
- Organization subpart
- No
- Enumeration date
- Apr 15, 2020
- Certification date
- Jan 27, 2026
- Last updated
- Jan 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Other names
- Elite Wound Care (Doing Business As)
Practice location
2855 S Bronco StLas Vegas, NV 89146-5207
Phone 702-730-0926 · Fax 702-926-9658
Mailing address
2855 S Bronco StLas Vegas, NV 89146-5207
Phone 702-329-9002 · Fax 702-745-2182
Authorized official
Elsie Jumao-As
Administrator
7027935280
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