MEDICARE: AMIT VALERA D.O.

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	208M00000X	Hospitalist Physician	DO1528	NV
2	207R00000X	Internal Medicine Physician	DO1528	NV

General Provider Information

NPI Number	:	1649487257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT VALERA D.O.

Provider Business Mailing Address
First Line	:	10155 W TWAIN AVE STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6723
Country	:	US
Telephone Number	:	702-848-5644
Fax Number	:	702-848-5415

Provider Business Practice Location Address
First Line	:	10155 W TWAIN AVE STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6723
Country	:	US
Telephone Number	:	702-848-5644
Fax Number	:	702-848-5415

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	01/24/2022

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Directions to “ AMIT VALERA D.O.” Practice Location

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