DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SEAN DALY BEATY M.D.

MEDICARE: SEAN DALY BEATY 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
12085R0202XDiagnostic Radiology Physician11844NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00342670OTHERNVRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
286080015085259A463OTHERAZTRICARE WEST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5CC4853OTHERNVBLUE

General Provider Information

NPI Number : 1316920986
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN DALY BEATY M.D.
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT STE 202
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4536
Country : US
Telephone Number : 877-406-2916
Fax Number :
Provider Business Practice Location Address
First Line : 4101 WAGON TRAIL AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-4426
Country : US
Telephone Number : 702-942-4123
Fax Number : 702-942-4124
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 01/11/2013

Similar Medicare Providers

1336126721 — AARON THOMAS PETERSON M.D.
Practice Location Address:
4101 WAGON TRAIL AVE
LAS VEGAS, NV
89118-4426
Practice Phone: 702-942-4123
Practice Fax: 702-942-4124
1508844713 — DAVID P GORCZYCA M.D.
Practice Location Address:
4101 WAGON TRAIL AVE
LAS VEGAS, NV
89118-4426
Practice Phone: 702-942-4123
Practice Fax: 702-942-4124
1982706974 — SUNIL KUMAR GUJRATHI M.D.
Practice Location Address:
4101 WAGON TRAIL AVE
LAS VEGAS, NV
89118-4426
Practice Phone: 702-942-4123
Practice Fax: 702-942-4124
1669553954 — SHAO-POW LIN M.D., PH.D.
Practice Location Address:
4101 WAGON TRAIL AVE
LAS VEGAS, NV
89118-4426
Practice Phone: 702-942-4123
Practice Fax: 702-942-4124
1508172164 — FREEDOM HEALTHCARE INC.
Practice Location Address:
4145 WAGON TRAIL AVE
LAS VEGAS, NV
89118-4426
Practice Phone: 702-940-5029
Practice Fax:
1285908798 — SONORAN PHARMACY GROUP INC
Practice Location Address:
4101 WAGON TRAIL AVE
LAS VEGAS, NV
89118-4426
Practice Phone: 702-576-9545
Practice Fax: 702-946-0353

Directions to “ SEAN DALY BEATY M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.