MEDICARE: JORAM S SEGGEV MD CHARTERED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RP1001X	Pulmonary Disease Physician
2	207R00000X	Internal Medicine Physician
3	207K00000X	Allergy & Immunology Physician

General Provider Information

NPI Number	:	1053643080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORAM S SEGGEV MD CHARTERED

Provider Business Mailing Address
First Line	:	7500 W LAKE MEAD BLVD # C9-292
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	702-822-2444
Fax Number	:	702-242-0655

Provider Business Practice Location Address
First Line	:	7500 W LAKE MEAD BLVD # C9-292
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	702-822-2444
Fax Number	:	702-242-0655

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JORAM S SEGGEV
Credential	:	MD
Telephone Number	:	702-822-2444

Provider Enumeration Date	:	02/01/2010
Last Update Date	:	02/02/2015

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