MEDICARE: AFI AMOUZOU

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	374700000X	Technician
2	363A00000X	Physician Assistant

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	:	1649898404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFI AMOUZOU

Provider Business Mailing Address
First Line	:	3325 RESEARCH WAY
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-7913
Country	:	US
Telephone Number	:	775-888-6610
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 CIVIC CENTER DR STE 224
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6332
Country	:	US
Telephone Number	:	702-214-5948
Fax Number	:	702-214-9439

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

Provider Enumeration Date	:	07/08/2020
Last Update Date	:	11/11/2021

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Directions to “ AFI AMOUZOU ” Practice Location

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