NPI 1760478564 · live from the CMS NPI Registry
Nicholas Tibaldi, M.D.
Internal Medicine, Gastroenterology in Las Vegas, NV. National Provider Identifier 1760478564, active.
NPI record
| NPI | 1760478564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 2316 W Charleston Blvd, Suite 280, Las Vegas, NV 89102 |
| Practice phone | 702-877-8330 |
| Mailing address | Po Box 15645, Las Vegas, NV 89114 |
| Enumerated | September 27, 2005 |
| Last updated | February 14, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | 19721 (WV) |
| Internal Medicine, Gastroenterology | 207RG0100X | 35065820 (OH) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 11661 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.