MEDICARE: ARITA PAIN MEDICINE LLC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	9767	NV

General Provider Information

NPI Number	:	1215136445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARITA PAIN MEDICINE LLC

Provider Business Mailing Address
First Line	:	9708 HIGHRIDGE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6723
Country	:	US
Telephone Number	:	702-882-2347
Fax Number	:

Provider Business Practice Location Address
First Line	:	9708 HIGHRIDGE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6723
Country	:	US
Telephone Number	:	702-882-2347
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADAM A ARITA
Credential	:	MD
Telephone Number	:	702-364-2044

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	07/17/2007

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