MEDICARE: LYNDA O. TIRAO, M.D. A PROF CORP

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	8221	NV

General Provider Information

NPI Number	:	1982808903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYNDA O. TIRAO, M.D. A PROF CORP

Provider Business Mailing Address
First Line	:	3585 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3344
Country	:	US
Telephone Number	:	702-733-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3585 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3344
Country	:	US
Telephone Number	:	702-733-9300
Fax Number	:

Authorized Official
Title or Position	:	CARDIOLOGIST
Name	:	DR. LYNDA O TIRAO
Credential	:	M.D.
Telephone Number	:	702-733-9300

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	08/28/2019

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