Individual
SUSAN REIKO HIRATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3006 S MARYLAND PKWY, STE #530, LAS VEGAS, NV 89109-2218
(702) 796-1820
(702) 796-3938
Mailing address
3006 S MARYLAND PKWY, STE. #530, LAS VEGAS, NV 89109-2218
(702) 796-1820
(702) 796-3938
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13593
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100520286
—
NV
Enumeration date
07/17/2008
Last updated
10/30/2013
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