MEDICARE: DOINA ROXANA JIANU MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363L00000X	Nurse Practitioner
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1467687038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOINA ROXANA JIANU MD PLLC

Provider Business Mailing Address
First Line	:	9300 SUN CITY BLVD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-1704
Country	:	US
Telephone Number	:	702-341-9400
Fax Number	:	702-341-6442

Provider Business Practice Location Address
First Line	:	9300 SUN CITY BLVD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-1704
Country	:	US
Telephone Number	:	702-341-9400
Fax Number	:	702-341-6442

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	GURU CHARAN
Credential	:
Telephone Number	:	702-341-9400

Provider Enumeration Date	:	05/26/2009
Last Update Date	:	09/24/2020

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