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NPI Code Detail

MEDICARE: XIAOKUN MONTEZ M.D, PHD

MEDICARE:   XIAOKUN  MONTEZ  M.D, PHD
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
1208000000XPediatrics Physician200500963NC
2208000000XPediatrics Physician14576NV

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 : 1801867668
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIAOKUN MONTEZ M.D, PHD
Provider Business Mailing Address
First Line : 10105 BANBURRY CROSS DRIVE
Second Line : SUITE 370
City : LAS VEGAS
State : NV
Zip : 89144-6649
Country : US
Telephone Number : 702-260-4525
Fax Number : 702-869-0133
Provider Business Practice Location Address
First Line : 10105 BANBURRY CROSS DRIVE
Second Line : SUITE 370
City : LAS VEGAS
State : NV
Zip : 89144-6649
Country : US
Telephone Number : 702-260-4525
Fax Number : 702-869-0133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 03/23/2016

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Directions to “ XIAOKUN MONTEZ M.D, PHD” Practice Location

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