MEDICARE: DR. JOSEPH GIUSEPPE PARRAVANO M.D., DABR, FRCPC

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	2085R0202X	Diagnostic Radiology Physician	10924	NV
2	2085R0202X	Diagnostic Radiology Physician	G72056	CA
3	2085R0202X	Diagnostic Radiology Physician	59033	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1548223670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH GIUSEPPE PARRAVANO M.D., DABR, FRCPC

Provider Business Mailing Address
First Line	:	4505 S MARYLAND PKWY
Second Line	:	UNLV-HEALTH PHYSICS -MS 45053037
City	:	LAS VEGAS
State	:	NV
Zip	:	89154-9900
Country	:	US
Telephone Number	:	702-967-0671
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 S MARYLAND PKWY
Second Line	:	UNLV-HEALTH PHYSICS -MS 45053037
City	:	LAS VEGAS
State	:	NV
Zip	:	89154-9900
Country	:	US
Telephone Number	:	702-967-0671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	06/22/2015

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