MEDICARE: D & D HEALTHCARE, 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
1	207Q00000X	Family Medicine Physician	NONE	NV

General Provider Information

NPI Number	:	1245263854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D & D HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	4375 W DESERT INN RD
Second Line	:	SUITE G
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7678
Country	:	US
Telephone Number	:	702-798-7770
Fax Number	:	702-895-7776

Provider Business Practice Location Address
First Line	:	4375 W DESERT INN RD
Second Line	:	SUITE G
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7678
Country	:	US
Telephone Number	:	702-798-7770
Fax Number	:	702-895-7776

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MS. DEBORAH MELENDEZ
Credential	:
Telephone Number	:	702-798-7770

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	08/22/2020

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