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NPI Code Detail

MEDICARE: AVI A OSTROWSKY MD LTD

MEDICARE: AVI A OSTROWSKY MD LTD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician6480NV

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 : 1245230242
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVI A OSTROWSKY MD LTD
Provider Business Mailing Address
First Line : PO BOX 35192
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5192
Country : US
Telephone Number : 702-360-9210
Fax Number : 702-360-0008
Provider Business Practice Location Address
First Line : 3150 N TENAYA WAY
Second Line : STE 440
City : LAS VEGAS
State : NV
Zip : 89128-0443
Country : US
Telephone Number : 702-360-9210
Fax Number : 702-360-0008
Authorized Official
Title or Position : PRESIDENT
Name : MR. AVI A OSTROWSKY
Credential : MD
Telephone Number : 702-360-9210
Provider Enumeration Date : 08/01/2005
Last Update Date : 06/13/2013

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Directions to “AVI A OSTROWSKY MD LTD ” Practice Location

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