Randy Masao Nakasone in Las Vegas - Specialist

Randy Masao Nakasone - NPI 1366512691

Randy Masao Nakasone is a Specialist in Las Vegas, New Mexico. Randy Masao Nakasone practices all healthcare services and medical treatments related to Specialist. The NPI Number for Randy Masao Nakasone is 1366512691. The last update date is 2007-07-08.

Randy Masao Nakasone's current location address is 508 University Ave, Las Vegas, New Mexico. You can contact this provider via phone number 5054257762 and fax number 5054549880. The mailing address for Randy Masao Nakasone is 508 University Ave, Las Vegas, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy Masao Nakasone
Address 508 University Ave, Las Vegas, New Mexico
Phone Number 5054257762
Fax Number 5054549880
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1366512691
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 508 University Ave
City Las Vegas
State New Mexico (NM)
Post Code 877014349
Phone Number 5054257762
Fax Number 5054549880

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 1308
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1308 NM PT LICENSE

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FAQs about Randy Masao Nakasone

What is the unique identifier code issued to Randy Masao Nakasone by the Centers for Medicare & Medicaid Services?

The Randy Masao Nakasone has been assigned the NPI (National Provider Identifier) 1366512691. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Randy Masao Nakasone is physically located?

The Randy Masao Nakasone is situated at the following address: 508 University Ave, Las Vegas, NM 877014349.

What is Randy Masao Nakasone's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Randy Masao Nakasone's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366512691 to Randy Masao Nakasone?

The Centers for Medicare & Medicaid Services originally issued the 1366512691 to Randy Masao Nakasone on 2006-11-08.

When was the information pertaining to Randy Masao Nakasone most recently updated or revised?

The details related to Randy Masao Nakasone, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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