Provider Demographics
NPI:1538974233
Name:TENAYA CARDIOVASCULAR (GABASHA) PLLC
Entity type:Organization
Organization Name:TENAYA CARDIOVASCULAR (GABASHA) PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-927-6910
Mailing Address - Street 1:410 S RAMPART BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-5730
Mailing Address - Country:US
Mailing Address - Phone:702-366-6000
Mailing Address - Fax:
Practice Address - Street 1:410 S RAMPART BLVD STE 350
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5730
Practice Address - Country:US
Practice Address - Phone:702-366-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty