MEDICARE: DR. ARNOLD WAX 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	207RH0003X	Hematology & Oncology Physician	5552	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00386520	OTHER	NV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CC0873	OTHER	NV	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1730267287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNOLD WAX MD

Provider Business Mailing Address
First Line	:	2245 N GREEN VALLEY PKWY
Second Line	:	SUITE # 502
City	:	HENDERSON
State	:	NV
Zip	:	89014-5024
Country	:	US
Telephone Number	:	702-897-5283
Fax Number	:	702-949-0827

Provider Business Practice Location Address
First Line	:	3509 E HARMON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5028
Country	:	US
Telephone Number	:	702-547-2273
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	01/27/2009

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Directions to “ DR. ARNOLD WAX MD” Practice Location

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