Modugno, Robert
Modugno, Robert is an individual health care provider with primary practice located at 9260 W Sunset Rd Suite 200, Las Vegas NV 89148-4858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Modugno, Robert can be contacted via phone (702) 255-3547.Contact Information
Primary practice address
9260 W Sunset Rd Suite 200
Las Vegas NV 89148-4858
Phone: (702) 255-3547
Fax: (702) 921-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 029496 | Georgia |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 029496 | Georgia |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 16437 | Nevada |
Profile Details
| NPI number | 1528072733 |
|---|---|
| LBN Legal business name | Modugno, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Feb 1st, 2017 - about 7 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 | 1528072733 | NPPES |
| North Carolina | Other | 1439X | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 4134092 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 4134092 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | P00605634 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 000453274S | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 3047867 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 5905360 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 202I164773 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 000453274H | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 6581 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 0762454 | BLUE CROSS BLUE SHIELD |
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