Provider Demographics
NPI:1548208283
Name:AKHTAR ALBRIGHT CHU DIXON NACHTSHEIM SIEFFERT & STUMPF MDS PC
Entity Type:Organization
Organization Name:AKHTAR ALBRIGHT CHU DIXON NACHTSHEIM SIEFFERT & STUMPF MDS PC
Other - Org Name:GENERAL AND VASCULAR ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-789-7000
Mailing Address - Street 1:1500 E 2ND STREET
Mailing Address - Street 2:#206
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502
Mailing Address - Country:US
Mailing Address - Phone:775-789-7000
Mailing Address - Fax:775-789-7040
Practice Address - Street 1:1500 E 2ND STREET #206
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502
Practice Address - Country:US
Practice Address - Phone:775-789-7000
Practice Address - Fax:775-789-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAXGG007210Medicaid
NV100505595Medicaid
NVVWCCGSMedicare PIN
NVCT1228Medicare PIN