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NPI Code Detail

MEDICARE: DR. ROY CHRISTIAN GAN MD

MEDICARE: DR. ROY CHRISTIAN GAN 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
1208600000XSurgery PhysicianMD473359PA
2390200000XStudent in an Organized Health Care Education/Training Program
3208600000XSurgery Physician22424NV

General Provider Information

NPI Number : 1710220421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROY CHRISTIAN GAN MD
Provider Business Mailing Address
First Line : 8930 W SUNSET RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5013
Country : US
Telephone Number : 702-258-7788
Fax Number :
Provider Business Practice Location Address
First Line : 8930 W SUNSET RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5013
Country : US
Telephone Number : 702-258-7788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2013
Last Update Date : 03/26/2023

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Directions to “ DR. ROY CHRISTIAN GAN MD” Practice Location

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