CHARLES ANDREW CHADAKOFF PA-C NPI 1770782195

NPI Information

NPI: 1770782195
Provider Name: CHARLES ANDREW CHADAKOFF, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: INFECTIOUS DISEASE SPECIALISTS LLC

PECOS Registration: Yes

Address:
5380 S RAINBOW BLVD
LAS VEGAS, NV
ZIP 89118
Phone: (702) 845-2841
Get Directions

Charles Andrew Chadakoff, PA-C is a medical physician assistant in Las Vegas, NV with 17 years of experience. Charles Andrew Chadakoff, PA-C NPI is 1770782195. 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:

5380 S RAINBOW BLVD
LAS VEGAS, NV
ZIP 89118-877
Phone: (702) 845-2841
Fax: (702) 252-4405

The NPI 1770782195 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 7/16/2007 and was last updated on 4/7/2010.

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	363AS0400X	Physician Assistant	Surgical	PA1050	NEVADA	No
2	363AM0700X	Physician Assistant	Medical	PA1050	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	P00427707	MEDICARE PIN	NEVADA
2	100512583	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: 11/14/2023

NPI Synchronization or Removal

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