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NPI Code Detail

MEDICARE: KANTOR NEPHROLOGY CONSULTANTS, LTD

MEDICARE: KANTOR NEPHROLOGY CONSULTANTS, LTD
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
1207RN0300XNephrology Physician5398NV

General Provider Information

NPI Number : 1811925480
Entity Type Code : Organization
Provider Name (Legal Business Name) : KANTOR NEPHROLOGY CONSULTANTS, LTD
Provider Business Mailing Address
First Line : 1750 E DESERT INN RD
Second Line : #200
City : LAS VEGAS
State : NV
Zip : 89169-3202
Country : US
Telephone Number : 702-732-2438
Fax Number : 702-737-5328
Provider Business Practice Location Address
First Line : 1750 E DESERT INN RD
Second Line : #200
City : LAS VEGAS
State : NV
Zip : 89109-3202
Country : US
Telephone Number : 702-732-2438
Fax Number : 702-737-5043
Authorized Official
Title or Position : MANAGING SHAREHOLDER
Name : DR. MARWAN TAKIEDDINE
Credential : M.D.
Telephone Number : 702-732-2438
Provider Enumeration Date : 06/30/2006
Last Update Date : 11/08/2013

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Directions to “KANTOR NEPHROLOGY CONSULTANTS, LTD ” Practice Location

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