MEDICARE: NOEL M CHAMIAN 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
1	207R00000X	Internal Medicine Physician	12358	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1629356274	OTHER	NV	GROUP NPI

General Provider Information

NPI Number	:	1376533059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL M CHAMIAN MD

Provider Business Mailing Address
First Line	:	7325 S PECOS RD
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3768
Country	:	US
Telephone Number	:	702-982-6402
Fax Number	:	702-202-0674

Provider Business Practice Location Address
First Line	:	7325 S PECOS RD
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3768
Country	:	US
Telephone Number	:	702-982-6402
Fax Number	:	702-202-0674

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	07/01/2016

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