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NPI Code Detail

MEDICARE: RUBEN J ACHERMAN MD

MEDICARE: RUBEN J ACHERMAN MD
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
12080P0202XPediatric Cardiology Physician10046NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2VWCLCQOTHERNVMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3XPY197044OTHERMEDI-CAL
4CC2802OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1033192372
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBEN J ACHERMAN MD
Provider Business Mailing Address
First Line : 3131 LA CANADA ST STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-2551
Country : US
Telephone Number : 702-732-1290
Fax Number : 702-732-1385
Provider Business Practice Location Address
First Line : 3131 LA CANADA ST STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-2551
Country : US
Telephone Number : 702-732-1290
Fax Number : 702-732-1385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 03/09/2022

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Directions to “ RUBEN J ACHERMAN MD” Practice Location

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