Ricardo Mogollon in Las Vegas - Internal Medicine

Ricardo Mogollon - NPI 1114993425

Ricardo Mogollon is a Internal Medicine in Las Vegas, Nevada. Ricardo Mogollon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ricardo Mogollon is 1114993425. The last update date is 2014-02-14.

Ricardo Mogollon's current location address is Po Box 15645, Las Vegas, Nevada. You can contact this provider via phone number 7027503900 and fax number 7027503853. The mailing address for Ricardo Mogollon is Po Box 15645, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Ricardo Mogollon
Address Po Box 15645, Las Vegas, Nevada
Phone Number 7027503900
Fax Number 7027503853
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114993425
Provider Enumeration Date 2006-02-27
Last Updated Date 2014-02-14

Provider Mailing Address Detail

Address Po Box 15645
City Las Vegas
State Nevada (NV)
Post Code 891145645
Phone Number 7027503900
Fax Number 7027503853

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 10775
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100503392 NV --
P00989966 NV RAILROAD MEDICARE
1114993425 NV --

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FAQs about Ricardo Mogollon

What is the unique 10-digit identifier code assigned to Ricardo Mogollon by the Centers for Medicare & Medicaid Services?

The Ricardo Mogollon has been issued the NPI (National Provider Identifier) 1114993425 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Ricardo Mogollon's physical address?

The Ricardo Mogollon is physically located at Po Box 15645, in the city of Las Vegas, NV, with the postal code 891145645.

What is the Ricardo Mogollon's area of specialization and corresponding taxonomy classification?

The Ricardo Mogollon's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1114993425 assigned to Ricardo Mogollon?

The Ricardo Mogollon was issued its 1114993425 on 2006-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Ricardo Mogollon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ricardo Mogollon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-02-14.

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