DR. M.D. John M Menezes, NPI 1891773404
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Las Vegas, NV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1891773404
NPI Entity Type Individual
Provider Name DR. M.D. John M Menezes
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1707 W Charleston Blvd, #190, Plastic Surgery Clinic, Las Vegas, NV, US
Provider Mailing Address 3016 W Charleston Blvd, Ste 100, Credentialing Department, Las Vegas, NV, US, 891021973
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2082S0099X

Taxonomy Name Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Classification

Plastic Surgery

Group

Allopathic & Osteopathic Physicians

License No. 10200
License State NV
Description A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Business Address

DR. M.D. John M Menezes
1707 W Charleston Blvd
#190, Plastic Surgery Clinic

Las Vegas, NV, US

Phone: 702-671-5110
Fax: 702-684-6592

Mailing Address

DR. M.D. John M Menezes
3016 W Charleston Blvd
Ste 100, Credentialing Department
Las Vegas, NV, US
ZIP 891021973
Phone: 702-780-2311
Fax: 702-671-6430

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
CS11260 NV PHARMACY/CDS 01
002018698 NV MEDICAID 05
BM5170422 NV DEA 01

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