MEDICARE: JOSHUA KREISS M.D.

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	2084N0400X	Neurology Physician	A108180	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	15378	OTHER	NV	STATE LICENSE

General Provider Information

NPI Number	:	1295952562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA KREISS M.D.

Provider Business Mailing Address
First Line	:	645 N ARLINGTON AVE
Second Line	:	STE 655
City	:	RENO
State	:	NV
Zip	:	89503-4460
Country	:	US
Telephone Number	:	775-770-6456
Fax Number	:	775-770-6455

Provider Business Practice Location Address
First Line	:	645 N ARLINGTON AVE
Second Line	:	STE 655
City	:	RENO
State	:	NV
Zip	:	89503-4460
Country	:	US
Telephone Number	:	775-770-6456
Fax Number	:	775-770-6455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	02/16/2017

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Directions to “ JOSHUA KREISS M.D.” Practice Location

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