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Contact Information

DOLUE D EZEANOLUE, MD
1701 BEARDEN DR
SUITE 200
LAS VEGAS, NV89106-4189
 Phone: 702-310-9110
 Fax: 702-310-9114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for DOLUE D EZEANOLUE · (Male)

NPI # 1700883014
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 09/12/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 8421
  • NV Medicaid 002019939
  • NV Other NV7125 BLUE CROSS BLUE SHIELD
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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