Dawn, Buddhadeb
Dawn, Buddhadeb is an sole proprietor health care provider with primary practice located at 1707 W Charleston Blvd Ste 230 , Las Vegas NV 89102-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dawn, Buddhadeb can be contacted via phone (702) 671-2201.Contact Information
Primary practice address
1707 W Charleston Blvd Ste 230
Las Vegas NV 89102-2353
Phone: (702) 671-2201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 33219 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2010030195 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 04-34507 | Kansas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 18127 | Nevada |
Profile Details
| NPI number | 1528043460 |
|---|---|
| LBN Legal business name | Dawn, Buddhadeb |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Apr 27th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528043460 | NPPES |
| Missouri | MEDICAID | 1528043460 | |
| Missouri | MEDICAID | 200679520A | |
| Missouri | MEDICAID | 1528043460 | |
| Missouri | Other | V55871 |
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