Provider Demographics
NPI:1205845658
Name:ROWAN, NOEL M (MD)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:M
Last Name:ROWAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:6070 S FORT APACHE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5657
Mailing Address - Country:US
Mailing Address - Phone:702-307-7700
Mailing Address - Fax:702-307-7942
Practice Address - Street 1:6070 S FORT APACHE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5657
Practice Address - Country:US
Practice Address - Phone:702-307-7700
Practice Address - Fax:702-307-7942
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2013-07-03
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Provider Licenses
StateLicense IDTaxonomies
NV6604207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019304Medicaid
NVP00238262OtherRAILROAD MEDICARE
NV002019304Medicaid
NV38871Medicare PIN