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NPI Code Detail

MEDICARE: DR. RALPH LUIGI CARULLO M.D.

MEDICARE: DR. RALPH LUIGI CARULLO 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
1207Q00000XFamily Medicine Physician13661NV
2202K00000XPhlebology Physician13661NV

General Provider Information

NPI Number : 1538314661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH LUIGI CARULLO M.D.
Provider Business Mailing Address
First Line : 7580 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2742
Country : US
Telephone Number : 702-852-2020
Fax Number : 702-821-1704
Provider Business Practice Location Address
First Line : 7580 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2742
Country : US
Telephone Number : 702-852-2020
Fax Number : 702-821-1704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2008
Last Update Date : 03/08/2022

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