Reno Geriatrics Llc | |
5335 Reno Corporate Dr Ste 100 Reno NV 89511-2619 | |
(757) 432-6282 | |
(775) 432-6283 |
Full Name | Reno Geriatrics Llc |
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Speciality | Internal Medicine |
Location | 5335 Reno Corporate Dr Ste 100, Reno, Nevada |
Authorized Official Name and Position | Mel C Magboo (CEO) |
Authorized Official Contact | 7755838799 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reno Geriatrics Llc Po Box 19833 Reno NV 89511-2501 Ph: (775) 432-6282 | Reno Geriatrics Llc 5335 Reno Corporate Dr Ste 100 Reno NV 89511-2619 Ph: (757) 432-6282 |
NPI Number | 1518460591 |
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Provider Enumeration Date | 03/15/2018 |
Last Update Date | 04/19/2024 |
Medicare PECOS PAC ID | 8224392899 |
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Medicare Enrollment ID | O20180507001967 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518460591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Mel C Magboo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114937158 PECOS PAC ID: 9133118532 Enrollment ID: I20040511000322 |
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