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NPI Code Detail

MEDICARE: RICHARD A LEFF MD

MEDICARE:   RICHARD A LEFF  MD
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
1207RC0000XCardiovascular Disease PhysicianME88519FL
2207RI0011XInterventional Cardiology PhysicianME88519FL
3207RC0000XCardiovascular Disease Physician4297NV
4207RI0011XInterventional Cardiology Physician4297NV

General Provider Information

NPI Number : 1679550057
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD A LEFF MD
Provider Business Mailing Address
First Line : 4525 DEAN MARTIN DR
Second Line : UNIT 1507
City : LAS VEGAS
State : NV
Zip : 89103-4145
Country : US
Telephone Number : 505-401-1037
Fax Number : 800-844-4682
Provider Business Practice Location Address
First Line : 4700 LAS VEGAS BLVD N BLDG 1300
Second Line : NELLIS AFB, NV 89191-6601
City : LAS VEGAS
State : NV
Zip : 89191-6600
Country : US
Telephone Number : 505-401-1037
Fax Number : 800-844-4682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 05/09/2014

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