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NPI Code Detail

MEDICARE: ELIZABETH S EHAMA D.O.

MEDICARE: ELIZABETH S EHAMA D.O.
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
1207V00000XObstetrics & Gynecology Physician46723CO
2207VG0400XGynecology PhysicianDR-46723CO
3207VX0000XObstetrics PhysicianDO2456NV

Other Identifiers

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

General Provider Information

NPI Number : 1205095403
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH S EHAMA D.O.
Provider Business Mailing Address
First Line : 2011 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4004
Country : US
Telephone Number : 702-382-3200
Fax Number : 702-382-3575
Provider Business Practice Location Address
First Line : 2011 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4004
Country : US
Telephone Number : 702-382-3200
Fax Number : 702-382-3575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 04/20/2023

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Directions to “ ELIZABETH S EHAMA D.O.” Practice Location

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