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NPI Code Detail

MEDICARE: SMITA MAITY M.D.

MEDICARE: SMITA MAITY 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
1207R00000XInternal Medicine Physician11595NV
2207RN0300XNephrology Physician11595NV

General Provider Information

NPI Number : 1982648309
Entity Type Code : Individual
Provider Name (Legal Business Name) : SMITA MAITY M.D.
Provider Business Mailing Address
First Line : 4680 POLARIS AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-5600
Country : US
Telephone Number : 702-909-5900
Fax Number : 702-333-4777
Provider Business Practice Location Address
First Line : 8876 SPANISH RIDGE AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1502
Country : US
Telephone Number : 702-690-4645
Fax Number : 702-936-5560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 02/19/2025

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Directions to “ SMITA MAITY M.D.” Practice Location

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