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NPI Code Detail

MEDICARE: DR. SCOTT-MAY KANOA OLDS M.D.

MEDICARE: DR. SCOTT-MAY KANOA OLDS 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
1207V00000XObstetrics & Gynecology Physician6242NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CS06143OTHERNVPHARMACY/CDS

General Provider Information

NPI Number : 1942288691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT-MAY KANOA OLDS M.D.
Provider Business Mailing Address
First Line : 6355 S BUFFALO DR FL 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2133
Country : US
Telephone Number : 702-216-3346
Fax Number :
Provider Business Practice Location Address
First Line : 6355 S BUFFALO DR FL 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2133
Country : US
Telephone Number : 702-255-3547
Fax Number : 702-921-2419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 03/07/2023

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Directions to “ DR. SCOTT-MAY KANOA OLDS M.D.” Practice Location

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