Individual
DR. THOMAS NYLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5390 LONGLEY LN, RENO, NV 89511-2291
(775) 302-0000
(775) 260-0368
Mailing address
5390 LONGLEY LN, RENO, NV 89511-2291
(775) 302-0000
(775) 260-0368
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12300
NV
207RC0000X
Cardiovascular Disease Physician
A89193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11762408
CAQH
—
01
—
12300
MEDICAL LICENSE
NV
01
—
1700869708
NPI
—
01
—
A89193
MEDICAL LICENSE
CA
Enumeration date
11/22/2005
Last updated
01/03/2025
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