Adrian Adrian a Professional Corporation
Organization Active NPI Family Medicine Physician · Las Vegas, NV
NPI 1043461296 · NPPES record last updated Nov 18, 2014
Key facts
- NPI
- 1043461296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADRIAN ADRIAN A PROFESSIONAL CORPORATION
- Practice address
- 5940 S Rainbow Blvd
Las Vegas, NV 89118-2540 - Phone
- (702) 335-1880
- NPI assigned
- Oct 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Adrian Adrian, MD
- Title
- President
- Phone
- (702) 335-1880
Practitioners 1
-
Adrian Adrian, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090901000381 | NV | Part B Supplier - Clinic/Group Practice | 0244385904 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | NV | Yes |
Addresses
Primary practice location
5940 S Rainbow Blvd
Las Vegas, NV 89118-2540
Mailing address
5940 S. Rainbow
Las Vegas, NV 89118
Phone (702) 335-1880
Other providers in Las Vegas, NV
- Paul Joshua Adordionicio
- Manuel A Adorna Ensenat
- Zulmarie Adorno-Maldonado
- Jessica R Adorno
- Adria Consulting LLC
- Adrian Adrian
- Charlene Adrian
- Adriana Fitness LLC
- Rosalie Adriano
- Mark Austin Virtudez Adriatico
All providers in Las Vegas, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.