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NPI Code Detail

MEDICARE: PETER BENJAMIN DEKAY MD

MEDICARE: PETER BENJAMIN DEKAY 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
1207V00000XObstetrics & Gynecology Physician9854NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215963400
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER BENJAMIN DEKAY MD
Provider Business Mailing Address
First Line : 635 INNOVATION DR STE 300
Second Line :
City : RENO
State : NV
Zip : 89511-2215
Country : US
Telephone Number : 775-329-6241
Fax Number : 775-329-4921
Provider Business Practice Location Address
First Line : 635 INNOVATION DR STE 300
Second Line :
City : RENO
State : NV
Zip : 89511-2215
Country : US
Telephone Number : 775-329-6241
Fax Number : 775-329-4921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 04/12/2024

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Directions to “ PETER BENJAMIN DEKAY MD” Practice Location

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