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NPI Code Detail

MEDICARE: DR. ORDESSIA CHARRAN M.D.

MEDICARE: DR. ORDESSIA CHARRAN M.D.
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
1207RP1001XPulmonary Disease Physician25046NV
2207RC0200XCritical Care Medicine (Internal Medicine) Physician59478AZ
3207RP1001XPulmonary Disease Physician59478AZ
4207RC0200XCritical Care Medicine (Internal Medicine) Physician25046NV

General Provider Information

NPI Number : 1114345345
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ORDESSIA CHARRAN M.D.
Provider Business Mailing Address
First Line : 5550 PAINTED MIRAGE RD STE 320
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4584
Country : US
Telephone Number : 702-570-3173
Fax Number :
Provider Business Practice Location Address
First Line : 5550 PAINTED MIRAGE RD STE 320
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4584
Country : US
Telephone Number : 702-570-3173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2014
Last Update Date : 06/23/2026

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Directions to “ DR. ORDESSIA CHARRAN M.D.” Practice Location

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