MEDICARE: DR. DANKA K MICHAELS 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
1	207R00000X	Internal Medicine Physician	8666	NV

General Provider Information

NPI Number	:	1730151044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANKA K MICHAELS MD

Provider Business Mailing Address
First Line	:	3320 N BUFFALO DR
Second Line	:	106
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7443
Country	:	US
Telephone Number	:	702-869-6190
Fax Number	:	702-869-6199

Provider Business Practice Location Address
First Line	:	3320 N BUFFALO DR
Second Line	:	106
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7443
Country	:	US
Telephone Number	:	702-869-6190
Fax Number	:	702-869-6199

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	04/14/2016

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