Agdamag, Abraham

Agdamag, Abraham is an sole proprietor health care provider with primary practice located at 1641 E Flamingo Rd Ste 7 , Las Vegas NV 89119-5257. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Agdamag, Abraham can be contacted via phone (702) 485-4575.

Contact Information

Primary practice address
1641 E Flamingo Rd Ste 7 Las Vegas NV 89119-5257
Phone: (702) 485-4575
Fax: (702) 485-4573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 820067 Nevada

Profile Details

NPI number 1730743451
LBN Legal business name Agdamag, Abraham
Credentials APRN-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2019
Last updated Nov 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730743451 NPPES
Nevada MEDICAID 1730743451

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