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NPI Code Detail

MEDICARE: MAITY MEDICAL ASSOCIATES INC

MEDICARE: MAITY MEDICAL ASSOCIATES INC
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
1207RN0300XNephrology Physician11595NV

General Provider Information

NPI Number : 1215177688
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAITY MEDICAL ASSOCIATES INC
Provider Business Mailing Address
First Line : 4680 POLARIS AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-5600
Country : US
Telephone Number : 702-909-6400
Fax Number : 702-333-4777
Provider Business Practice Location Address
First Line : 8876 SPANISH RIDGE AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1502
Country : US
Telephone Number : 702-690-4645
Fax Number : 702-936-5560
Authorized Official
Title or Position : PRESIDENT
Name : SMITA MAITY
Credential : M.D.
Telephone Number : 702-869-6070
Provider Enumeration Date : 02/25/2009
Last Update Date : 02/19/2025

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Directions to “MAITY MEDICAL ASSOCIATES INC ” Practice Location

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