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NPI Code Detail

MEDICARE: DR. PETER J KASPRZAK M.D.

MEDICARE: DR. PETER J KASPRZAK M.D.
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 Physician6748NV

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 : 1801833157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER J KASPRZAK M.D.
Provider Business Mailing Address
First Line : 520 HAMMILL LN
Second Line :
City : RENO
State : NV
Zip : 89511-2045
Country : US
Telephone Number : 775-348-1313
Fax Number : 775-348-1798
Provider Business Practice Location Address
First Line : 520 HAMMILL LN
Second Line :
City : RENO
State : NV
Zip : 89511-2045
Country : US
Telephone Number : 775-348-1313
Fax Number : 775-348-1798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 10/27/2009

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