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NPI Code Detail

MEDICARE: ROXANA TEJADA-JITSUYA M.D.

MEDICARE:   ROXANA  TEJADA-JITSUYA  M.D.
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
1208M00000XHospitalist Physician13608NV
2207R00000XInternal Medicine Physician13608NV

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 : 1932361904
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANA TEJADA-JITSUYA M.D.
Provider Business Mailing Address
First Line : 2017 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4018
Country : US
Telephone Number : 702-542-5868
Fax Number : 702-991-9807
Provider Business Practice Location Address
First Line : 2017 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4018
Country : US
Telephone Number : 702-542-5868
Fax Number : 702-991-9807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 06/05/2024

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Directions to “ ROXANA TEJADA-JITSUYA M.D.” Practice Location

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