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NPI Code Detail

MEDICARE: NKDHC RUDNITSKY PLLC

MEDICARE: NKDHC RUDNITSKY PLLC
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
12086S0129XVascular Surgery Physician
2207RN0300XNephrology Physician

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 : 1265831432
Entity Type Code : Organization
Provider Name (Legal Business Name) : NKDHC RUDNITSKY PLLC
Provider Business Mailing Address
First Line : 2545 S BRUCE ST STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-1731
Country : US
Telephone Number : 702-732-2438
Fax Number : 702-737-5043
Provider Business Practice Location Address
First Line : 2545 S BRUCE ST STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-1731
Country : US
Telephone Number : 702-732-2438
Fax Number : 702-737-5043
Authorized Official
Title or Position : OWNER
Name : BENJAMIN RUDNITSKY
Credential : MD
Telephone Number : 702-853-0090
Provider Enumeration Date : 08/14/2014
Last Update Date : 03/22/2024

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Directions to “NKDHC RUDNITSKY PLLC ” Practice Location

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