Individual
MARTIN CHAOYUEH TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 N GREEN VALLEY PKWY, HENDERSON, NV 89014-0266
(702) 454-2666
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 242-7786
(702) 240-8790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9532
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018372
—
NV
05
—
3102782
—
NV
01
—
VWCHKL
NORIDIAN
NV
Enumeration date
02/07/2006
Last updated
11/22/2021
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