Baldauf, Tamra

Baldauf, Tamra is an individual health care provider with primary practice located at 2020 Palomino Ln Ste 100 , Las Vegas NV 89106-4894. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Baldauf, Tamra can be contacted via phone (702) 759-8600.

Contact Information

Primary practice address
2020 Palomino Ln Ste 100 Las Vegas NV 89106-4894
Phone: (702) 759-8600
Fax: (702) 384-1815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 8976 Nevada

Profile Details

NPI number 1326099268
LBN Legal business name Baldauf, Tamra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 17th, 2018 - about 6 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 1326099268 NPPES
Nevada Other 152967 WC
Nevada MEDICAID 1326099268 WC
Nevada MEDICAID 200290107 WC
Nevada Other 300101536 WC
Nevada Other 7850 WC
Nevada Other 153087 WC

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