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General NPI Number Information
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NPI Number | 1134331986
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Entity Type | Individual
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Provider Name | PETER K ASAFO-ADJEI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 2031 MCDANIEL ST SUITE 105
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City | N LAS VEGAS
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State | NV
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Zip | 89030-6303
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Country | US
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Telephone | 702-868-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 W CHARLESTON BLVD SUITE 13-173
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City | LAS VEGAS
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State | NV
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Zip | 89135-1037
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Country | US
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Telephone | 702-868-7777
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Fax | 702-405-0081
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12241
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License Number State | NV
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