MEDICARE: ANNA T CONTOMITROS 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	207VG0400X	Gynecology Physician	8564	NV

General Provider Information

NPI Number	:	1659461705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA T CONTOMITROS MD

Provider Business Mailing Address
First Line	:	7908 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1990
Country	:	US
Telephone Number	:	702-531-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	7908 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1990
Country	:	US
Telephone Number	:	702-531-5400
Fax Number	:

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/17/2012

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