MEDICARE: NOBLE GEORGE 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
1	207UN0902X	Nuclear Imaging & Therapy Physician	20109	NV
2	207U00000X	Nuclear Medicine Physician	MD438516	PA
3	207U00000X	Nuclear Medicine Physician	25MA08695600	NJ
4	2085N0904X	Nuclear Radiology Physician	25MA08695600	NJ
5	2085N0904X	Nuclear Radiology Physician	MD438516	PA
6	2085R0202X	Diagnostic Radiology Physician	25MA08695600	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00794131	OTHER	PA	RAILROAD MEDICARE
4	P00827140	OTHER	NJ	RAILROAD MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942482245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOBLE GEORGE MD

Provider Business Mailing Address
First Line	:	732 S 6TH ST STE N
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8894 SPANISH RIDGE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1303
Country	:	US
Telephone Number	:	215-917-8231
Fax Number	:

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

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	05/22/2026

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Directions to “ NOBLE GEORGE MD” Practice Location

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