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NPI Code Detail

MEDICARE: NIRUPA PAULRAJ MD

MEDICARE: NIRUPA PAULRAJ 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
1207R00000XInternal Medicine Physician2005-0723NM
2207R00000XInternal Medicine Physician13228NV

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 : 1770622763
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIRUPA PAULRAJ MD
Provider Business Mailing Address
First Line : 2545 S BRUCE ST STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-1778
Country : US
Telephone Number : 702-732-2438
Fax Number : 702-737-5043
Provider Business Practice Location Address
First Line : 2545 S BRUCE ST STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-1778
Country : US
Telephone Number : 702-732-2438
Fax Number : 702-737-5043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 06/20/2024

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Directions to “ NIRUPA PAULRAJ MD” Practice Location

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