Individual
DR. MICHAEL MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
9319
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200037695
R.R. MEDICARE
—
05
—
2018404
—
NV
01
—
7999278
AETNA
—
01
—
NV2943
BXBS
—
Enumeration date
01/06/2006
Last updated
10/11/2018
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