Provider Demographics
NPI:1134248487
Name:NEVADA CANCER CENTER
Entity type:Organization
Organization Name:NEVADA CANCER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:NAFEE
Authorized Official - Last Name:NAGY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-735-7154
Mailing Address - Street 1:8285 W ARBY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2235
Mailing Address - Country:US
Mailing Address - Phone:702-735-7154
Mailing Address - Fax:702-405-1860
Practice Address - Street 1:8285 W ARBY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2235
Practice Address - Country:US
Practice Address - Phone:702-735-7154
Practice Address - Fax:702-405-1860
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEVADA CANCER CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-28
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVWCHKMMedicare PIN