1346514585 NPI number — ALELI VIDAD MD, INC

Table of content: (NPI 1346514585)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346514585 NPI number — ALELI VIDAD MD, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALELI VIDAD MD, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346514585
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4477
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARSON CITY
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89702-4477
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-883-3336
Provider Business Mailing Address Fax Number:
775-883-0877

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 N. NAVAJO DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAGE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-883-3336
Provider Business Practice Location Address Fax Number:
775-883-0877
Provider Enumeration Date:
03/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
VIDAD
Authorized Official First Name:
ALELI
Authorized Official Middle Name:
FAVILA
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
775-881-8543

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  12435 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1750576245 . This is a "INDIVIDUAL NPI" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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