Provider Demographics
NPI:1427159037
Name:NG, JEFFREY PATRICK (MD)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:PATRICK
Last Name:NG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5325 S. FORT APACHE ROAD
Mailing Address - Street 2:STE D99
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-408-0471
Mailing Address - Fax:775-356-5590
Practice Address - Street 1:7660 CHEYANNE AVE
Practice Address - Street 2:STE 112
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129
Practice Address - Country:US
Practice Address - Phone:702-413-5079
Practice Address - Fax:725-333-8401
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2020-12-21
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Provider Licenses
StateLicense IDTaxonomies
NV10928207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV109119Medicare PIN
H52567Medicare UPIN
H52567Medicare UPIN