Provider Demographics
NPI:1134352032
Name:NOEL CHAMIAN MD PC
Entity type:Organization
Organization Name:NOEL CHAMIAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-527-8587
Mailing Address - Street 1:PO BOX 777656
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-7656
Mailing Address - Country:US
Mailing Address - Phone:702-527-8587
Mailing Address - Fax:702-202-0674
Practice Address - Street 1:9005 S PECOS RD STE 2610
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7192
Practice Address - Country:US
Practice Address - Phone:702-527-8587
Practice Address - Fax:702-202-0674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ463926Medicaid
NVCH984AMedicare PIN