DR. ALFREDA I. MALLER M.D. PHD NPI 1326078098

NPI Information

NPI: 1326078098
Provider Name: DR. ALFREDA I. MALLER, M.D., PHD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2020 E DESERT INN RD
LAS VEGAS, NV
ZIP 89109
Phone: (702) 796-5505
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DR. Alfreda I. Maller, M.D., PHD is a specialist in Las Vegas, NV. The provider is 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. DR. Alfreda I. Maller, M.D., PHD NPI is 1326078098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2020 E DESERT INN RD
LAS VEGAS, NV
ZIP 89109-211
Phone: (702) 796-5505
Fax: (702) 732-9830

The NPI 1326078098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 12/3/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	10255	NEVADA	No
2	174400000X	Specialist		10255	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	002018705	MEDICAID	NEVADA

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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