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NPI Code Detail

MEDICARE: ROBERT M PEPRAH MD

MEDICARE:   ROBERT M PEPRAH  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
12084P0800XPsychiatry Physician6821NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699794529
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT M PEPRAH MD
Provider Business Mailing Address
First Line : 6039 ELDORA AVE
Second Line : SUITE E
City : LAS VEGAS
State : NV
Zip : 89146-5611
Country : US
Telephone Number : 702-228-4900
Fax Number : 702-228-1177
Provider Business Practice Location Address
First Line : 6039 ELDORA AVE
Second Line : SUITE E
City : LAS VEGAS
State : NV
Zip : 89146-5611
Country : US
Telephone Number : 702-228-4900
Fax Number : 702-228-1177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 12/10/2008

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