Individual
DR. CHAORUI TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2316 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2149
(702) 877-8330
(702) 870-9876
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 579-3272
(702) 667-4667
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15649
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801057625
—
NV
Enumeration date
06/24/2008
Last updated
08/25/2015
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