Provider Demographics
NPI:1609834852
Name:ADAOAG, AARON A (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:A
Last Name:ADAOAG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9816 GILESPIE ST
Mailing Address - Street 2:550
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7602
Mailing Address - Country:US
Mailing Address - Phone:702-202-6336
Mailing Address - Fax:702-202-6318
Practice Address - Street 1:9816 GILESPIE ST
Practice Address - Street 2:550
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7602
Practice Address - Country:US
Practice Address - Phone:702-202-6336
Practice Address - Fax:702-202-6318
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2011-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV11256207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV560012-01Medicaid
NVI19071Medicare UPIN
NV560012-01Medicaid