Provider Demographics
NPI:1265622260
Name:UZMANN, MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:UZMANN
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 1:5235 S DURANGO DR STE 103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-0165
Mailing Address - Country:US
Mailing Address - Phone:702-979-9910
Mailing Address - Fax:702-552-0344
Practice Address - Street 1:8352 W WARM SPRINGS RD FL 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3628
Practice Address - Country:US
Practice Address - Phone:702-851-7287
Practice Address - Fax:702-552-0344
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ45876207RE0101X
NV14933207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1265622260Medicaid
AZZ153712Medicare PIN
NV1265622260Medicaid