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Contact Information

UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI-SPECIALTY GROUP PRACTICE SO
1707 W CHARLESTON BLVD
200
LAS VEGAS, NV89102-2351
 Phone: 702-671-6475
 Fax: 702-671-5090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI-SPECIALTY GROUP PRACTICE SO

NPI Number 1447576111
LBN Legal business name UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI-SPECIALTY GROUP PRACTICE SO
Authorized official WILLIAM ZAMBONI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2010
Last updated 04/20/2010 - About 16 years ago
Identifiers
NV License # 12160
NV License # 7611
NV License # 7733
NV License # 9126
NV License # PY0320
NV License # PY320
NV Medicaid 100500484 GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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