Healthcare Provider Details

I. General information

NPI: 1134352032
Provider Name (Legal Business Name): NOEL CHAMIAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 02/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9005 S PECOS RD STE 2610
HENDERSON NV
89074-7192
US

IV. Provider business mailing address

PO BOX 777656
HENDERSON NV
89077-7656
US

V. Phone/Fax

Practice location:
  • Phone: 702-527-8587
  • Fax: 702-202-0674
Mailing address:
  • Phone: 702-527-8587
  • Fax: 702-202-0674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: NOEL M CHAMIAN
Title or Position: PRESIDENT
Credential: MD
Phone: 702-527-8587