Provider Demographics
NPI:1417193665
Name:EMMANUEL NWAPA MD PC
Entity Type:Organization
Organization Name:EMMANUEL NWAPA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-380-8200
Mailing Address - Street 1:1800 INDUSTRIAL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2685
Mailing Address - Country:US
Mailing Address - Phone:702-380-8200
Mailing Address - Fax:
Practice Address - Street 1:1800 INDUSTRIAL RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2685
Practice Address - Country:US
Practice Address - Phone:702-380-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV107302084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty