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NPI Code Detail

MEDICARE: NUDRAT R NAUMAN MD PC

MEDICARE: NUDRAT R NAUMAN MD PC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1386371730
Entity Type Code : Organization
Provider Name (Legal Business Name) : NUDRAT R NAUMAN MD PC
Provider Business Mailing Address
First Line : 2939 LAKE EAST DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2939 LAKE EAST DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2204
Country : US
Telephone Number : 702-861-0242
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NUDRAT RIZVI NAUMAN
Credential : MD
Telephone Number : 702-850-1230
Provider Enumeration Date : 08/05/2022
Last Update Date : 08/05/2022

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