| Adrian Adrian A Professional Corporation | |
|
5940 S Rainbow Blvd Las Vegas NV 89118-2540 | |
| (702) 335-1880 | |
| Not Available |
| Full Name | Adrian Adrian A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 5940 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Adrian Adrian (PRESIDENT) |
| Authorized Official Contact | 7023351880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Adrian A Professional Corporation 5940 S. Rainbow Las Vegas NV 89118 Ph: (702) 335-1880 | Adrian Adrian A Professional Corporation 5940 S Rainbow Blvd Las Vegas NV 89118-2540 Ph: (702) 335-1880 |
| NPI Number | 1043461296 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 11/18/2014 |
| Medicare PECOS PAC ID | 0244385904 |
|---|---|
| Medicare Enrollment ID | O20090901000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043461296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Nevada) | Primary |
| Provider Name | Adrian Adrian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174577662 PECOS PAC ID: 8628099660 Enrollment ID: I20051219000069 |
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