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REVENGE MEDICAL INC NPI 1942921200


NPI Information

NPI: 1942921200
Provider Name: REVENGE MEDICAL INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
343 ELM ST STE 201
RENO, NV
ZIP 89503
Phone: (775) 470-6651
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REVENGE MEDICAL INC is a specialist in Reno, 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. REVENGE MEDICAL INC NPI is 1942921200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

343 ELM ST STE 201
RENO, NV
ZIP 89503-538
Phone: (775) 470-6651
Fax: (775) 622-0788

The provider's authorized official is Edin Abdagic .
The authorized official title is Medical Director / Owner and has the following contact phone number (702) 690-1633.

The enumeration date for this NPI number is 9/6/2022 and was last updated on 2/16/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2174400000XSpecialistYes

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: 5/5/2024

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.