Healthcare Provider Details

I. General information

NPI: 1265573828
Provider Name (Legal Business Name): H MALIN PRUPAS MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 GIROUX STREET #101
RENO NV
89502
US

IV. Provider business mailing address

80 GIROUX STREET #101
RENO NV
89502
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-9100
  • Fax: 775-786-9113
Mailing address:
  • Phone: 775-786-9100
  • Fax: 775-786-9113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: H. MALIN PRUPAS
Title or Position: OWNER
Credential: M.D.
Phone: 775-786-9100