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Contact Information

NICHOLAS TIBALDI, MD
2316 W CHARLESTON BLVD
SUITE 280
LAS VEGAS, NV89102-2149
 Phone: 702-877-8330
 Fax: 702-877-8312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for NICHOLAS TIBALDI · (Male)

NPI # 1760478564
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 02/14/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 11661
  • OH License # 35065820
  • WV License # 19721
  • NV Medicaid 1760478564
  • OH Medicaid 0151302
  • WV Medicaid 6000016000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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