Individual
MR. RAFAEL OKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 E. CHARLESTON BLVD, LAS VEGAS, NV 89104
(702) 384-1110
(702) 320-1639
Mailing address
1219 E. CHARLESTON BLVD., LAS VEGAS, NV 89104
(702) 384-1110
(702) 320-1639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12174
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235281874
—
NV
Enumeration date
01/16/2007
Last updated
09/06/2012
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