Individual
CHAD POOPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 PALOMINO LANE, STE # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
2020 PALOMINO LANE, STE # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14710
NV
2085R0202X
Diagnostic Radiology Physician
4301076679
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487475910
—
MI
01
—
700H262300
BLUE CROSS-BLUE CROSS
—
01
—
CP076679
CHAMPUS-CHAMPUS
—
01
—
P01197938
RR MEDICARE DESERT RADIOLOGISTS
NV
01
—
P01199934
RR MEDICARE DRS
NV
Enumeration date
08/07/2006
Last updated
01/22/2014
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