MEDICARE: DAVID ENG M.D.

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208100000X	Physical Medicine & Rehabilitation Physician	20945	NV

General Provider Information

NPI Number	:	1194259796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ENG M.D.

Provider Business Mailing Address
First Line	:	3459 SAINT ROSE PKWY STE 120
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 E HARMON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7848
Country	:	US
Telephone Number	:	702-798-7990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2017
Last Update Date	:	02/28/2022

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Directions to “ DAVID ENG M.D.” Practice Location

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