Provider Demographics
NPI:1275778599
Name:MARIA K NWOKIKEMD FACE PC
Entity Type:Organization
Organization Name:MARIA K NWOKIKEMD FACE PC
Other - Org Name:ENDOCRINOLOGY AND DIABETES SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOKIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-967-3510
Mailing Address - Street 1:6850 N DURANGO DR
Mailing Address - Street 2:SUIE 204
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4595
Mailing Address - Country:US
Mailing Address - Phone:702-967-3510
Mailing Address - Fax:702-967-3513
Practice Address - Street 1:6850 N DURANGO DR
Practice Address - Street 2:SUIE 204
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4595
Practice Address - Country:US
Practice Address - Phone:702-967-3510
Practice Address - Fax:702-967-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12597207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV725615Medicare PIN