Individual
CARMIT A BOLDUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 RANCHO LN, SUITE #175, LAS VEGAS, NV 89106-3836
(702) 636-3000
(702) 636-6345
Mailing address
901 RANCHO LN, SUITE #175, LAS VEGAS, NV 89106-3836
(702) 636-3000
(702) 636-6345
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
250774-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250774-1
NY MEDICAL LICENSE
NY
Enumeration date
01/09/2009
Last updated
01/09/2009
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