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NPI Code Detail

MEDICARE: ARVIN FUTURE CARE PC

MEDICARE: ARVIN FUTURE CARE 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
1207RN0300XNephrology Physician12864NV

General Provider Information

NPI Number : 1639496706
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARVIN FUTURE CARE PC
Provider Business Mailing Address
First Line : 4045 S BUFFALO DR
Second Line : STE A101-132
City : LAS VEGAS
State : NV
Zip : 89147-7479
Country : US
Telephone Number : 702-249-7289
Fax Number :
Provider Business Practice Location Address
First Line : 9121 W RUSSELL RD
Second Line : #200
City : LAS VEGAS
State : NV
Zip : 89148-1236
Country : US
Telephone Number : 702-249-7289
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ARVIN J GUPTA
Credential : M.D.
Telephone Number : 702-249-7289
Provider Enumeration Date : 04/28/2010
Last Update Date : 04/28/2010

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Directions to “ARVIN FUTURE CARE PC ” Practice Location

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