Individual
NIUTON SEIGO KOIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2880 N TENAYA WAY STE 100, LAS VEGAS, NV 89128-0642
(702) 962-2200
Mailing address
PO BOX 100744, ATLANTA, GA 30384-0744
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
11761
NV
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
11761
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821067059
—
NV
01
—
GB910Y-GB910Z
MEDICARE
NV
Enumeration date
03/17/2006
Last updated
03/30/2023
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