Ryu, Jeffrey Y

Ryu, Jeffrey Y is an individual health care provider with primary practice located at 2450 Fire Mesa St Ste 110 , Las Vegas NV 89128-9034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ryu, Jeffrey Y can be contacted via phone (702) 853-0090.

Contact Information

Primary practice address
2450 Fire Mesa St Ste 110 Las Vegas NV 89128-9034
Phone: (702) 853-0090
Fax: (702) 853-0096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 11350 Nevada

Profile Details

NPI number 1427039932
LBN Legal business name Ryu, Jeffrey Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated May 16th, 2024 - about 6 months 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 1427039932 NPPES
Arizona MEDICAID 234076
Arizona MEDICAID 100505715
Arizona MEDICAID 1427039932

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