MEDICARE: DR. ROBERT RIGGIO 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	2084N0400X	Neurology Physician	A167962	CA
2	2084N0400X	Neurology Physician	210105	NV
3	2084N0400X	Neurology Physician	LP03826	RI
4	2084N0400X	Neurology Physician	12933	SD

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	:	1952751331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT RIGGIO M.D.

Provider Business Mailing Address
First Line	:	8461 FARM RD STE 120 BOX 106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131
Country	:	US
Telephone Number	:	725-204-6520
Fax Number	:	702-441-7023

Provider Business Practice Location Address
First Line	:	3150 N TENAYA WAY STE 525
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0465
Country	:	US
Telephone Number	:	725-204-6520
Fax Number	:	702-441-7023

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

Provider Enumeration Date	:	06/16/2016
Last Update Date	:	05/19/2026

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Directions to “ DR. ROBERT RIGGIO M.D.” Practice Location

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