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NPI Code Detail

MEDICARE: NIRAN BHANDUARAM

MEDICARE: NIRAN BHANDUARAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist20748NV

General Provider Information

NPI Number : 1053909259
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIRAN BHANDUARAM
Provider Business Mailing Address
First Line : 9305 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-6837
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9305 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-6837
Country : US
Telephone Number : 702-914-9797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2021
Last Update Date : 01/04/2021

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Directions to “ NIRAN BHANDUARAM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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