MEDICARE: S ALTINSAN MD PC

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	2084P0800X	Psychiatry Physician	7265	NV

General Provider Information

NPI Number	:	1285936252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S ALTINSAN MD PC

Provider Business Mailing Address
First Line	:	PO BOX 20823
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89515-0823
Country	:	US
Telephone Number	:	775-846-7077
Fax Number	:	775-827-4799

Provider Business Practice Location Address
First Line	:	3732 LAKESIDE DR
Second Line	:	#200
City	:	RENO
State	:	NV
Zip	:	89509-5278
Country	:	US
Telephone Number	:	775-846-7077
Fax Number	:	775-827-4799

Authorized Official
Title or Position	:	M.D.
Name	:	DR. SAIDE ALTINSAN
Credential	:	M.D.
Telephone Number	:	775-846-7077

Provider Enumeration Date	:	11/24/2010
Last Update Date	:	01/27/2011

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