Provider Demographics
NPI:1588624019
Name:NAUMAN, NUDRAT RIZVI (MD)
Entity Type:Individual
Prefix:
First Name:NUDRAT
Middle Name:RIZVI
Last Name:NAUMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:716 PROUD EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0913
Mailing Address - Country:US
Mailing Address - Phone:702-254-3444
Mailing Address - Fax:702-254-7898
Practice Address - Street 1:8551 W LAKE MEAD BLVD STE 180
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7649
Practice Address - Country:US
Practice Address - Phone:702-750-1230
Practice Address - Fax:702-750-2388
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2019-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV11638208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100507410Medicaid