Provider Demographics
NPI:1235399767
Name:ARYEL, RON MAX (MD)
Entity Type:Individual
Prefix:
First Name:RON
Middle Name:MAX
Last Name:ARYEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3596 BAKER LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5458
Mailing Address - Country:US
Mailing Address - Phone:775-825-5437
Mailing Address - Fax:
Practice Address - Street 1:6548 SOUTH MCCARRAN BLVD.
Practice Address - Street 2:SUITE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6150
Practice Address - Country:US
Practice Address - Phone:775-825-8245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12273208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics