Provider Demographics
NPI:1700046802
Name:PETER G. VAJTAI, M.D., LTD.
Entity Type:Organization
Organization Name:PETER G. VAJTAI, M.D., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:VAJTAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-240-3198
Mailing Address - Street 1:3150 N TENAYA WAY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0443
Mailing Address - Country:US
Mailing Address - Phone:702-240-3198
Mailing Address - Fax:702-240-9455
Practice Address - Street 1:3150 N TENAYA WAY
Practice Address - Street 2:SUITE 150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0443
Practice Address - Country:US
Practice Address - Phone:702-240-3198
Practice Address - Fax:702-240-9455
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PETER G. VAJTAI, M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7506208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty