Individual
RAN JIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N GREEN VALLEY PKWY, #240, HENDERSON, NV 89074-6391
(702) 938-0088
(702) 260-4689
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01049735A
IN
207P00000X
Emergency Medicine Physician
A70416
CA
207P00000X
Emergency Medicine Physician
K8769
TX
207R00000X
Internal Medicine Physician
Primary
13443
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598830416
—
NV
Enumeration date
11/24/2006
Last updated
03/26/2015
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