Individual
DR. MELVIN JAY KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5295 SUN VALLEY BLVD, SUN VALLEY, NV 89433-7954
(775) 674-5430
(775) 674-5440
Mailing address
5295 SUN VALLEY BLVD, SUN VALLEY, NV 89433-7954
(775) 674-5430
(775) 674-5440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3641
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427283860
CLINIC TAX NPI
NV
05
—
2016810
—
NV
01
—
94-1196203
CLINIC TAX ID
NV
01
—
CC163A
CLINIC PTAN
NV
01
—
CC171Z
MEDICARE PTAN
NV
Enumeration date
01/17/2006
Last updated
10/19/2009
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