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NPI Code Detail

MEDICARE: ABRAHAM ROTHMAN MD

MEDICARE: ABRAHAM ROTHMAN 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
12080P0202XPediatric Cardiology Physician10467NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4VWCLCQOTHERNVMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CC5958OTHERBLUE CROSS BLUE SHIELD
2XPY199953OTHERMEDI-CAL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730162074
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRAHAM ROTHMAN MD
Provider Business Mailing Address
First Line : 3131 LA CANADA ST STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-2551
Country : US
Telephone Number : 702-732-1290
Fax Number : 702-260-1926
Provider Business Practice Location Address
First Line : 3131 LA CANADA ST STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-2551
Country : US
Telephone Number : 702-732-1290
Fax Number : 702-260-1926
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 03/03/2022

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Directions to “ ABRAHAM ROTHMAN MD” Practice Location

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