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NPI Code Detail

MEDICARE: DR. DINA ROBIN GABAEFF MD

MEDICARE: DR. DINA ROBIN GABAEFF 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
12085N0700XNeuroradiology Physician24803AZ
22085R0202XDiagnostic Radiology Physician2023-03425NC
32085R0202XDiagnostic Radiology Physician14771NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P01190313OTHERNVRR MEDICARE DESERT RADIOLOGY SOLUTIONS LLC
5P01197941OTHERNVRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AZ0324990OTHERAZBCBS
3378035OTHERAZAHCCCS
61Z7049OTHERAZHEALTHNET

General Provider Information

NPI Number : 1538127568
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DINA ROBIN GABAEFF MD
Provider Business Mailing Address
First Line : 2020 PALOMINO LANE
Second Line : #100
City : LAS VEGAS
State : NV
Zip : 89106-4894
Country : US
Telephone Number : 702-759-8600
Fax Number : 702-384-1815
Provider Business Practice Location Address
First Line : 2020 PALOMINO LANE
Second Line : #100
City : LAS VEGAS
State : NV
Zip : 89106-4894
Country : US
Telephone Number : 702-759-8600
Fax Number : 702-384-1815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 01/11/2024

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Directions to “ DR. DINA ROBIN GABAEFF MD” Practice Location

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