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NPI Code Detail

MEDICARE: DR. REGINALD LAMONT BAKER M.D.

MEDICARE: DR. REGINALD LAMONT BAKER 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
12085R0202XDiagnostic Radiology PhysicianME98093FL
22085R0204XVascular & Interventional Radiology Physician28871NV
32085R0204XVascular & Interventional Radiology PhysicianME98093FL
42085U0001XDiagnostic Ultrasound Physician0101223831VA

General Provider Information

NPI Number : 1942261631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REGINALD LAMONT BAKER M.D.
Provider Business Mailing Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2386
Country : US
Telephone Number : 702-383-2620
Fax Number : 702-383-2477
Provider Business Practice Location Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2386
Country : US
Telephone Number : 702-383-3648
Fax Number : 702-383-2627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 02/05/2026

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