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NPI Code Detail

MEDICARE: SIKISAM MAGOYAG MD

MEDICARE: SIKISAM MAGOYAG 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 Physician9984NV
2208M00000XHospitalist Physician9984NV

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 : 1912995283
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIKISAM MAGOYAG MD
Provider Business Mailing Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2386
Country : US
Telephone Number : 702-383-2000
Fax Number :
Provider Business Practice Location Address
First Line : 5755 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-1004
Country : US
Telephone Number : 702-383-6250
Fax Number : 702-224-7194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 02/18/2026

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Directions to “ SIKISAM MAGOYAG MD” Practice Location

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