Provider Demographics
NPI:1376533059
Name:CHAMIAN, NOEL M (MD)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:M
Last Name:CHAMIAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7325 S PECOS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3768
Mailing Address - Country:US
Mailing Address - Phone:702-982-6402
Mailing Address - Fax:702-202-0674
Practice Address - Street 1:7325 S PECOS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3768
Practice Address - Country:US
Practice Address - Phone:702-982-6402
Practice Address - Fax:702-202-0674
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2016-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV12358207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ463650Medicaid
NV1629356274OtherGROUP NPI
NVCH985ZMedicare PIN
AZ463650Medicaid