Provider Demographics
NPI:1649230491
Name:ORUENE, ALAFURO TEKENA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAFURO
Middle Name:TEKENA
Last Name:ORUENE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 BEARDEN DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4189
Mailing Address - Country:US
Mailing Address - Phone:702-310-9110
Mailing Address - Fax:702-910-9114
Practice Address - Street 1:1701 BEARDEN DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4189
Practice Address - Country:US
Practice Address - Phone:702-310-9110
Practice Address - Fax:702-910-9114
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11664174400000X
NV1316208VP0014X
NV224261207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100509317Medicaid
NVV101838Medicare PIN