Individual
DR. REY AGATEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1055 S WELLS AVE, RENO, NV 89502-2550
(775) 329-6300
(775) 870-4686
Mailing address
680 S ROCK BLVD, RENO, NV 89502-4113
(775) 329-6300
(775) 870-4686
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO2818
NV
208000000X
Pediatrics Physician
OP60666398
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250014612
—
NV
01
—
V76770
MEDICARE PTAN
NV
Enumeration date
06/06/2014
Last updated
03/16/2023
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