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NPI Code Detail

MEDICARE: ROBERT R GAO M.D.

MEDICARE: ROBERT R GAO 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
1208100000XPhysical Medicine & Rehabilitation Physician9991NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2V36621OTHERNVMEDICARE ID
3V36620OTHERNVMEDICARE GROUP ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CC9211OTHERNVBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134110596
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT R GAO M.D.
Provider Business Mailing Address
First Line : PO BOX 530369
Second Line :
City : HENDERSON
State : NV
Zip : 89053-0369
Country : US
Telephone Number : 702-269-0781
Fax Number : 702-269-0788
Provider Business Practice Location Address
First Line : 3022 S DURANGO DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-4440
Country : US
Telephone Number : 702-269-0781
Fax Number : 702-269-0788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 03/24/2023

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