Organization · NPI-2

Advanced Rheumatology Associates Of Nevada Modjinou PLLC

Internal Medicine, Rheumatology · Henderson, NV

NPI number1508544743
StatusActive
Last updated in NPPESOct 27, 2023

Details

NPI
1508544743
Entity type
Organization (NPI-2)
Legal business name
Advanced Rheumatology Associates Of Nevada Modjinou PLLC
Organization subpart
No
Enumeration date
Jul 7, 2023
Certification date
Oct 27, 2023
Last updated
Oct 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology––Yes

Practice location

861 Coronado Center Dr Ste 220
Henderson, NV 89052-3992

Phone 702-984-3776

Mailing address

861 Coronado Center Dr Ste 220
Henderson, NV 89052-3992

Phone 702-984-3776

Authorized official

Ernest G Barela
Operations
7024132177

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