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NPI Code Detail

MEDICARE: EMMANUEL SABANGAN M.D.

MEDICARE: EMMANUEL SABANGAN M.D.
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 Physician8041NV

General Provider Information

NPI Number : 1649265141
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL SABANGAN M.D.
Provider Business Mailing Address
First Line : 6900 NORTH PECOS RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086
Country : US
Telephone Number : 702-791-9000
Fax Number : 702-224-6073
Provider Business Practice Location Address
First Line : 6900 NORTH PECOS RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086
Country : US
Telephone Number : 702-791-9000
Fax Number : 702-224-6073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 08/02/2023

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