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NOEL R. FAJARDO MD PC NPI 1891056370


NPI Information

NPI: 1891056370
Provider Name: NOEL R. FAJARDO MD PC

Doing Business As: LAS VEGAS GASTROENTEROLOGY

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 29D2141828

Address:
3901 S MARYLAND PKWY
LAS VEGAS, NV
ZIP 89119
Phone: (702) 982-7240
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NOEL R. FAJARDO MD PC 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. NOEL R. FAJARDO MD PC NPI is 1891056370. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Las Vegas Gastroenterology.

The provider's business location address is:

3901 S MARYLAND PKWY
LAS VEGAS, NV
ZIP 89119-537
Phone: (702) 982-7240
Fax: (702) 586-7506

The provider's authorized official is Noel Rodriguez Fajardo .
The authorized official title is President and has the following contact phone number (702) 982-7240.

The CLIA number assigned to this NPI record is 29D2141828 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/31/2012 and was last updated on 11/1/2023.


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
1174400000XSpecialist12053NEVADAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.