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NPI Code Detail

MEDICARE: NAYEF T. RESK MD INC.

MEDICARE: NAYEF T. RESK MD INC.
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
1207R00000XInternal Medicine Physician25571AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912334988
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAYEF T. RESK MD INC.
Provider Business Mailing Address
First Line : 3003 HIGHWAY 95
Second Line : SUITE 35
City : BULLHEAD CITY
State : AZ
Zip : 86442-7896
Country : US
Telephone Number : 928-704-0400
Fax Number : 928-704-0400
Provider Business Practice Location Address
First Line : 3003 HIGHWAY 95
Second Line : SUITE 35
City : BULLHEAD CITY
State : AZ
Zip : 86442-7896
Country : US
Telephone Number : 928-704-0400
Fax Number : 928-704-0400
Authorized Official
Title or Position : PRESIDENT
Name : KAMILIA BANOUB
Credential :
Telephone Number : 928-704-0400
Provider Enumeration Date : 10/04/2013
Last Update Date : 06/05/2023

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