Provider Demographics
NPI:1770590697
Name:UTE GEEB, MD, LTD
Entity type:Organization
Organization Name:UTE GEEB, MD, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:UTE
Authorized Official - Middle Name:G M
Authorized Official - Last Name:GEEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-283-0987
Mailing Address - Street 1:PO BOX 34166
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-4166
Mailing Address - Country:US
Mailing Address - Phone:702-485-5025
Mailing Address - Fax:
Practice Address - Street 1:3150 N. TENAYA WAY
Practice Address - Street 2:SUITE 271
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-485-5025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8503207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G68969Medicare UPIN
NVV30861Medicare ID - Type Unspecified