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NPI Code Detail

MEDICARE: JORDANA NOREEN CHETA MD

MEDICARE: JORDANA NOREEN CHETA 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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician0101257972VA
2207RN0300XNephrology Physician17559NV
3390200000XStudent in an Organized Health Care Education/Training ProgramNY
4207RC0200XCritical Care Medicine (Internal Medicine) Physician17559NV

General Provider Information

NPI Number : 1306191994
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDANA NOREEN CHETA MD
Provider Business Mailing Address
First Line : 286 ELDER VIEW DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138-5011
Country : US
Telephone Number : 702-504-0283
Fax Number : 702-483-6202
Provider Business Practice Location Address
First Line : 2500 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0482
Country : US
Telephone Number : 702-333-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2012
Last Update Date : 10/19/2024

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