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NPI Code Detail

MEDICARE: MARTIN BLAHNIK MD

MEDICARE: MARTIN BLAHNIK MD
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
12080N0001XNeonatal-Perinatal Medicine PhysicianG80590CA

General Provider Information

NPI Number : 1235222761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN BLAHNIK MD
Provider Business Mailing Address
First Line : 1047 TABOR HILL AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89074-8034
Country : US
Telephone Number : 702-580-6948
Fax Number : 702-693-5331
Provider Business Practice Location Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number : 702-731-8240
Fax Number : 702-693-5331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 10/27/2009

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Directions to “ MARTIN BLAHNIK MD” Practice Location

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