Individual
DR. JIMMY DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4275 BURNHAM AVE STE 100, LAS VEGAS, NV 89119-5400
(702) 240-6482
(702) 240-8529
Mailing address
700 E SILVERADO RANCH BLVD STE 170, LAS VEGAS, NV 89183-7518
(702) 240-6482
(702) 804-0957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13444
NV
207R00000X
Internal Medicine Physician
A111256
CA
207RC0000X
Cardiovascular Disease Physician
Primary
13444
NV
207RI0011X
Interventional Cardiology Physician
13444
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13444
NV MEDICAL LICENSE
NV
01
—
CS18484
NV PHARMACY
NV
01
—
LL1738
MEDICAL LICENSE
NV
Enumeration date
03/19/2007
Last updated
03/07/2023
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