MEDICARE: IRIYE AND ADASHEK CHARTERED

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	207VM0101X	Maternal & Fetal Medicine Physician	7471	NV

General Provider Information

NPI Number	:	1588851604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRIYE AND ADASHEK CHARTERED

Provider Business Mailing Address
First Line	:	2011 PINTO LN
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4018
Country	:	US
Telephone Number	:	702-382-3200
Fax Number	:	702-382-3575

Provider Business Practice Location Address
First Line	:	2011 PINTO LN
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4018
Country	:	US
Telephone Number	:	702-382-3200
Fax Number	:	702-382-3575

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIAN K IRIYE
Credential	:	M.D.
Telephone Number	:	702-382-3200

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	10/02/2007

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