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NPI Code Detail

MEDICARE: QUAN HADUONG MD

MEDICARE: QUAN HADUONG 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
1207L00000XAnesthesiology Physician7683NV

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 : 1710963210
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUAN HADUONG MD
Provider Business Mailing Address
First Line : 3157 N RAINBOW BLVD # 518
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4578
Country : US
Telephone Number : 702-386-4700
Fax Number : 702-386-4701
Provider Business Practice Location Address
First Line : 7250 PEAK DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9028
Country : US
Telephone Number : 702-386-4700
Fax Number : 702-386-4701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 08/17/2020

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Directions to “ QUAN HADUONG MD” Practice Location

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