MR. MITCHELL JAMES RADIGAN D.O. NPI 1972941169

NPI Information

NPI: 1972941169
Provider Name: MR. MITCHELL JAMES RADIGAN, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
620 SHADOW LANE
LAS VEGAS, NV
ZIP 89106
Phone: (702) 388-4512
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MR. Mitchell James Radigan, D.O. is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MR. Mitchell James Radigan, D.O. NPI is 1972941169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

620 SHADOW LANE
LAS VEGAS, NV
ZIP 89106
Phone: (702) 388-4512
Fax: (702) 388-8431

The enumeration date for this NPI number is 6/10/2013 and was last updated on 11/24/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		SL0956	NEVADA	No
2	208D00000X	General Practice		006537	ARIZONA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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