Guilherme Abel Mabunda, M.D.
Individual provider Active NPI Family Medicine Physician · Nixon, NV
NPI 1770538332 · NPPES record last updated Mar 18, 2015
Key facts
- NPI
- 1770538332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3210 (NV)
- Practice address
- 705 Highway 446
Nixon, NV 89424-0227 - Phone
- (775) 574-1018
- Fax
- (775) 574-1028
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3210 | NV | MD | Family Medicine Physician |
Interoperability endpoints
- gmabunda@plthc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3210 | NV | Yes |
Addresses
Primary practice location
705 Highway 446
Nixon, NV 89424-0227
Mailing address
PO Box 227
Nixon, NV 89424-0227
Phone (775) 574-1018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003116904 | Medicaid | NV | |
| 004716904 | Medicaid | NV |
Other providers in Nixon, NV
- Stephanie Johnson
- Leon Kinerson
- Lindsey L Kreller
- Vicki Maria Lillegard
- Wynogene Sherrill Lyle
- Nancy Jane Magnusson
- Erin Melarkey
- Jason Molino
- Richard Murrieta
- Rosanne J Pang
All providers in Nixon, 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 Mar 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.