MEDICARE: ROBERT L. BAKER 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
1	207RC0000X	Cardiovascular Disease Physician	9710	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912900655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT L. BAKER M.D.

Provider Business Mailing Address
First Line	:	3201 S MARYLAND PKWY STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2426
Country	:	US
Telephone Number	:	702-796-7150
Fax Number	:	702-796-9071

Provider Business Practice Location Address
First Line	:	3201 S MARYLAND PKWY STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2426
Country	:	US
Telephone Number	:	702-796-7150
Fax Number	:	702-796-9071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	05/15/2024

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