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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CANDICE D FORTUNATO, MD
500 N RAINBOW BLVD
STE 300
LAS VEGAS, NV89107-1082
 Phone: 702-439-3309
 Fax: 702-947-6740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CANDICE D FORTUNATO · (Female)

NPI Number 1619101490
Credentials MD
Entity Individual
Enumeration date 05/08/2009
Last updated 08/07/2013 - About 3 years ago
Sole proprietor 1 No
Identifiers
NV License # 14750
Hospital affiliation(s) n/a
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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