Gao, Robert R
Gao, Robert R is an sole proprietor health care provider with primary practice located at 3022 S Durango Dr Ste 100 , Las Vegas NV 89117-4440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gao, Robert R can be contacted via phone (702) 269-0781.Contact Information
Primary practice address
3022 S Durango Dr Ste 100
Las Vegas NV 89117-4440
Phone: (702) 269-0781
Fax: (702) 269-0788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 9991 | Nevada |
Profile Details
| NPI number | 1134110596 |
|---|---|
| LBN Legal business name | Gao, Robert R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Mar 24th, 2023 - about last year |
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 | 1134110596 | NPPES |
| Nevada | Other | CC9211 | BCBS |
| Nevada | Other | V36621 | BCBS |
| Nevada | Other | V36620 | BCBS |
| Nevada | MEDICAID | 002018489 | BCBS |
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