MEDICARE: DONALD CASSIDY 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
1	207RH0003X	Hematology & Oncology Physician	4124	NV
2	207R00000X	Internal Medicine Physician	4124	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083766190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD CASSIDY MD

Provider Business Mailing Address
First Line	:	645 N ARLINGTON AVE
Second Line	:	SUITE 660
City	:	RENO
State	:	NV
Zip	:	89503-4460
Country	:	US
Telephone Number	:	775-770-7348
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 N ARLINGTON AVE
Second Line	:	SUITE 555
City	:	RENO
State	:	NV
Zip	:	89503-4460
Country	:	US
Telephone Number	:	775-770-3304
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	12/31/2013

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Directions to “ DONALD CASSIDY MD” Practice Location

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