MEDICARE: SCOTT A. RUBIN 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
1	2084P0800X	Psychiatry Physician	6160	NV

General Provider Information

NPI Number	:	1518283472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT A. RUBIN PC

Provider Business Mailing Address
First Line	:	5440 W SAHARA AVE STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0361
Country	:	US
Telephone Number	:	702-380-8200
Fax Number	:	702-380-3220

Provider Business Practice Location Address
First Line	:	5440 W SAHARA AVE STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0361
Country	:	US
Telephone Number	:	702-380-8200
Fax Number	:	702-380-3220

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT A RUBIN
Credential	:	MD
Telephone Number	:	702-380-8200

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	04/15/2010

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