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Adrian Adrian A Professional Corporation

Family Medicine in Las Vegas, NV. Organization (NPI-2).

NPI number1043461296
StatusActive
Last updated in NPPESNov 18, 2014

Details

NPI
1043461296
Entity type
Organization (NPI-2)
Legal business name
Adrian Adrian A Professional Corporation
Organization subpart
No
Enumeration date
Oct 7, 2008
Last updated
Nov 18, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine–NVYes

Practice location

5940 S Rainbow Blvd
Las Vegas, NV 89118-2540

Phone 702-335-1880

Mailing address

5940 S. Rainbow
Las Vegas, NV 89118

Phone 702-335-1880 · Fax 702-798-6709

Authorized official

Adrian Adrian
President
7023351880

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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