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NPI Code Detail

MEDICARE: NEVADA RURAL HEALTHCARE

MEDICARE: NEVADA RURAL HEALTHCARE
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
1261QA1903XAmbulatory Surgical Clinic/Center
2261QR1300XRural Health Clinic/Center
3207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1538797485
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA RURAL HEALTHCARE
Provider Business Mailing Address
First Line : 1390 AVENUE L
Second Line :
City : ELY
State : NV
Zip : 89301-2821
Country : US
Telephone Number : 518-796-3714
Fax Number :
Provider Business Practice Location Address
First Line : 5785 S FORT APACHE RD STE B-100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5659
Country : US
Telephone Number : 702-822-2273
Fax Number :
Authorized Official
Title or Position : CHIEF MEDICAL DIRECTOR
Name : DR. ZIA KHAN
Credential : MD
Telephone Number : 702-822-2273
Provider Enumeration Date : 03/27/2020
Last Update Date : 03/27/2020

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Directions to “NEVADA RURAL HEALTHCARE ” Practice Location

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