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MEDALLUS & VACHAROTHONE LTD NPI 1902329469


NPI Information

NPI: 1902329469
Provider Name: MEDALLUS & VACHAROTHONE LTD

Doing Business As: MEDALLUS MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 29D2141984

Address:
1501 LAMOILLE HWY
ELKO, NV
ZIP 89801
Phone: (775) 400-1510
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MEDALLUS & VACHAROTHONE LTD is a family medicine in Elko, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDALLUS & VACHAROTHONE LTD NPI is 1902329469. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medallus Medical.

The provider's business location address is:

1501 LAMOILLE HWY
ELKO, NV
ZIP 89801-321
Phone: (775) 400-1510
Fax: (775) 984-5170

The provider's authorized official is Rachot K Vacharothone .
The authorized official title is Ceo and has the following contact phone number (801) 501-0500.

The CLIA number assigned to this NPI record is 29D2141984 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/17/2017 and was last updated on 1/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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