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NPI Code Detail

MEDICARE: ROBERT SIMEON MUSNI MD

MEDICARE: ROBERT SIMEON MUSNI 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
1207Q00000XFamily Medicine Physician9144NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3V50207OTHERNVSMA MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518969187
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT SIMEON MUSNI MD
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-877-5199
Fax Number :
Provider Business Practice Location Address
First Line : 7061 GRAND MONTECITO PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-0287
Country : US
Telephone Number : 702-334-6027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 11/18/2024

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Directions to “ ROBERT SIMEON MUSNI MD” Practice Location

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