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NPI Code Detail

MEDICARE: CARA BUCHANAN MD

MEDICARE:   CARA  BUCHANAN  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine PhysicianA178309CA

General Provider Information

NPI Number : 1053974089
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA BUCHANAN MD
Provider Business Mailing Address
First Line : 1917 REALEZA CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2062
Country : US
Telephone Number : 702-373-3111
Fax Number :
Provider Business Practice Location Address
First Line : 1200 N. STATE STREET
Second Line : GNH 1011
City : LOS ANGELES
State : CA
Zip : 90033
Country : US
Telephone Number : 323-409-7053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2019
Last Update Date : 06/22/2022

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