Provider Demographics
NPI:1255301347
Name:ADOLFO, MARIA C (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:ADOLFO
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9811 W CHARLESTON BLVD STE 2-845
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7528
Mailing Address - Country:US
Mailing Address - Phone:702-228-3111
Mailing Address - Fax:702-228-0411
Practice Address - Street 1:5785 S FORT APACHE RD
Practice Address - Street 2:STE. 100B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5659
Practice Address - Country:US
Practice Address - Phone:702-228-3111
Practice Address - Fax:702-228-0411
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2013-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV8438207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV105046Medicare PIN