Healthcare Provider Details

I. General information

NPI: 1942482245
Provider Name (Legal Business Name): NOBLE GEORGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8894 SPANISH RIDGE AVE
LAS VEGAS NV
89148-1303
US

IV. Provider business mailing address

732 S 6TH ST STE N
LAS VEGAS NV
89101-6928
US

V. Phone/Fax

Practice location:
  • Phone: 215-917-8231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number20109
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberMD438516
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number25MA08695600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number25MA08695600
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberMD438516
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA08695600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: