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NPI Code Detail

MEDICARE: MASH ENTERPRISES LLC

MEDICARE: MASH ENTERPRISES LLC
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician
2207RS0012XSleep Medicine (Internal Medicine) Physician
3207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1609607563
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASH ENTERPRISES LLC
Provider Business Mailing Address
First Line : 6190 MAE ANNE AVE STE 1
Second Line :
City : RENO
State : NV
Zip : 89523-4709
Country : US
Telephone Number :
Fax Number : 888-343-2070
Provider Business Practice Location Address
First Line : 6190 MAE ANNE AVE STE 1
Second Line :
City : RENO
State : NV
Zip : 89523-4709
Country : US
Telephone Number : 775-260-7000
Fax Number : 775-413-0265
Authorized Official
Title or Position : PRACTICE OWNER
Name : STEVE MASHOUR
Credential : MD
Telephone Number : 775-260-7000
Provider Enumeration Date : 08/12/2024
Last Update Date : 02/04/2026

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Directions to “MASH ENTERPRISES LLC ” Practice Location

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