Calvin Van Reken Md Ltd | |
55 Foothill Rd Ste 1 Reno NV 89511-5404 | |
(775) 358-1717 | |
Not Available |
Full Name | Calvin Van Reken Md Ltd |
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Speciality | Internal Medicine |
Location | 55 Foothill Rd, Reno, Nevada |
Authorized Official Name and Position | Calvin H Vanreken (PRESIDENT) |
Authorized Official Contact | 7753581717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Calvin Van Reken Md Ltd 55 Foothill Rd Ste 1 Reno NV 89511-5404 Ph: (775) 358-1717 | Calvin Van Reken Md Ltd 55 Foothill Rd Ste 1 Reno NV 89511-5404 Ph: (775) 358-1717 |
NPI Number | 1407908536 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 05/15/2015 |
Medicare PECOS PAC ID | 1052576543 |
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Medicare Enrollment ID | O20120709000219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407908536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Calvin Vanreken |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710052394 PECOS PAC ID: 0042296113 Enrollment ID: I20040629000130 |
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