Organization
RASOOL RHEUMATOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYONA BEAUCHAMP (AUTHORIZED OFFICIAL)
(702) 407-8241
Entity
Organization
Contact information
Practice address
861 CORONADO CENTER DR STE 211, HENDERSON, NV 89052-3992
(702) 407-8241
(702) 492-1728
Mailing address
861 CORONADO CENTER DR STE 211, HENDERSON, NV 89052-3992
(702) 407-8241
(702) 492-1728
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
13713
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NV
Enumeration date
01/15/2018
Last updated
01/15/2018
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